Individual
MR. JOHN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 FARMINGDALE RD, WEST BABYLON, NY 11704-6207
(631) 669-5355
(631) 669-1471
Mailing address
1 FARMINGDALE RD, WEST BABYLON, NY 11704-6207
(631) 669-5355
(631) 669-1471
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
500751
NY
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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