Fitzgerald, Tanya
Fitzgerald, Tanya is an individual health care provider with primary practice located at 114-08 194Th Street , St. Albans NY 11412. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fitzgerald, Tanya can be contacted via phone (516) 909-8685.Contact Information
Primary practice address
114-08 194Th Street
St. Albans NY 11412
Phone: (516) 909-8685
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 004544-1 | New York |
Profile Details
| NPI number | 1912200817 |
|---|---|
| LBN Legal business name | Fitzgerald, Tanya |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 2010 |
| Last updated | Dec 15th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912200817 | NPPES |
| New York | MEDICAID | 225XPO200X |
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