Mccarroll, Kathleen Fitzsimons

Mccarroll, Kathleen Fitzsimons is an individual health care provider with primary practice located at 45 W Suffolk Ave Suite 200, Central Islip NY 11722-2143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Mccarroll, Kathleen Fitzsimons can be contacted via phone (631) 582-2228.

Contact Information

Primary practice address
45 W Suffolk Ave Suite 200 Central Islip NY 11722-2143
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F 381007 New York

Profile Details

NPI number 1861663064
LBN Legal business name Mccarroll, Kathleen Fitzsimons
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Sep 11th, 2013 - 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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