Fitzgerald, Michael A
Fitzgerald, Michael A is an individual health care provider with primary practice located at 4870 Broad Rd Suite 3Q, Syracuse NY 13215-2206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fitzgerald, Michael A can be contacted via phone (315) 492-5292.Contact Information
Primary practice address
4870 Broad Rd Suite 3Q
Syracuse NY 13215-2206
Phone: (315) 492-5292
Fax: (315) 492-5123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 1189823 | New York |
Profile Details
| NPI number | 1083634109 |
|---|---|
| LBN Legal business name | Fitzgerald, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Mar 6th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083634109 | NPPES |
| New York | MEDICAID | 00482260 |
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