DAWN FITZGERALD


Address: 315 West 70th Street, Suite 1b, New York, NY 10023
Phone: 2122804740

DAWN FITZGERALD (NPI# 1164058236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164058236
Entity Type Individual
Full Name DAWN FITZGERALD
Credential NP
Practice Address 315 West 70th Street
Suite 1b
New York
NY 10023
Mailing Address 7 Douglass St Apt 2c
Brooklyn
NY 11231-5415
Practice Telephone 2122804740
Mailing Telephone 3156943825
Enumeration Date 2020-03-20
Last Update Date 2020-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 758495-1 NY Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
346134 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7 Douglass St Apt 2c, Brooklyn, NY 112315415 3156943825

Office Location

Street Address 315 WEST 70TH STREET
SUITE 1B
City NEW YORK
State NY
Zip Code 10023

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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