Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL T FITZGERALD
Active Sole ProprietorDR. MICHAEL T FITZGERALD is a Child, Clinical Psychologist healthcare provider located in WANTAGH, New York. NPI 1699877803 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · WANTAGH, NY
Registration Details
- NPI Number
- 1699877803
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2006 (19.995062561402 yrs)
- Last Updated
- Jul 9, 2007
- License
-
01140001 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3375 PARK AVE4000WANTAGH, NY, 117933733Browse NY providers · Browse ZIP 11793
- Phone
- 5162218838
- Fax
- 5162214709
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.