Fitzgerald, Michael T
Fitzgerald, Michael T is an sole proprietor health care provider with primary practice located at 3375 Park Ave 4000, Wantagh NY 11793-3733. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Fitzgerald, Michael T can be contacted via phone (516) 221-8838.Contact Information
Primary practice address
3375 Park Ave 4000
Wantagh NY 11793-3733
Phone: (516) 221-8838
Fax: (516) 221-4709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 01140001 | New York |
Profile Details
| NPI number | 1699877803 |
|---|---|
| LBN Legal business name | Fitzgerald, Michael T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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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