Fitzgerald, Michael G

Fitzgerald, Michael G is an individual health care provider with primary practice located at 5719 Widewaters Pkwy , Syracuse NY 13214-1985. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Fitzgerald, Michael G can be contacted via phone (315) 251-3100.

Contact Information

Primary practice address
5719 Widewaters Pkwy Syracuse NY 13214-1985
Phone: (315) 251-3100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 284814 New York
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 284814 New York

Profile Details

NPI number 1942525662
LBN Legal business name Fitzgerald, Michael G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2010
Last updated Apr 5th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942525662 NPPES
New York MEDICAID 04451130

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