Individual
KAITLYN FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 BEACH 132ND ST, BELLE HARBOR, NY 11694-1410
(516) 318-3338
Mailing address
212 BEACH 132ND ST, BELLE HARBOR, NY 11694-1410
(516) 318-3338
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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