Fitzgerald, Deidre

Fitzgerald, Deidre is an sole proprietor health care provider with primary practice located at 450 W Walnut St , Long Beach NY 11561-3133. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fitzgerald, Deidre can be contacted via phone (516) 432-4792.

Contact Information

Primary practice address
450 W Walnut St Long Beach NY 11561-3133
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1902168487
LBN Legal business name Fitzgerald, Deidre
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2012
Last updated Jun 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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