MICHAEL T FITZGERALD

Dr MICHAEL T FITZGERALD is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1990.

Contact

2070 DEER PARK AVE
SUITE 2
DEER PARK
NY
117292134

Tel: 5166984749

MICHAEL T FITZGERALD Information

Npi 1699877803
Pac Id 0244400554
Professional Enrollment Id I20110824000327
Last Name FITZGERALD
First Name MICHAEL
Middle Name T
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1990
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 2070 DEER PARK AVE
Line 2 Street Address SUITE 2
Marker Of Address Line 2 Suppression
City DEER PARK
State NY
Zip Code 117292134
Phone Number 5166984749
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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