Fitzgerald, Andrea

Fitzgerald, Andrea is an individual health care provider with primary practice located at 46 Giant Oak Rd , Ridge NY 11961-2609. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Fitzgerald, Andrea can be contacted via phone (631) 767-6935.

Contact Information

Primary practice address
46 Giant Oak Rd Ridge NY 11961-2609
Phone: (631) 767-6935
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 602665-1 New York

Profile Details

NPI number 1861656522
LBN Legal business name Fitzgerald, Andrea
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2008
Last updated Jul 11th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861656522 NPPES
New York MEDICAID 602665-1

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