Fitzgerald, Kathleen Marie

Fitzgerald, Kathleen Marie is an sole proprietor health care provider with primary practice located at 202 Connetquot Rd , Oakdale NY 11769-2146. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Behavioral Health & Social Service Providers / Social Worker. Agencies / Early Intervention Provider Agency is her primary health care specialty. Fitzgerald, Kathleen Marie can be contacted via phone (631) 563-9085.

Contact Information

Primary practice address
202 Connetquot Rd Oakdale NY 11769-2146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 055004-1 New York

Profile Details

NPI number 1386010189
LBN Legal business name Fitzgerald, Kathleen Marie
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2015
Last updated Jan 18th, 2017 - about 8 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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