ELIZABETH FITZPATRICK


Address: 160 E Main St, Port Jervis, NY 12771-2114
Phone: 8458587000

ELIZABETH FITZPATRICK (NPI# 1356440101) 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) 1356440101
Entity Type Individual
Full Name ELIZABETH FITZPATRICK
Credential NP
Practice Address 160 E Main St
Port Jervis
NY 12771-2114
Mailing Address 20 Grand St
Fl 3
Warwick
NY 10990-1035
Practice Telephone 8458587000
Mailing Telephone 8459873973
Mailing Fax Number 8459875979
Enumeration Date 2006-09-21
Last Update Date 2016-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
F340646 NY Physician Assistants & Advanced Practice Nursing Providers

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1700026291 Elizabeth Ann Fitzpatrick Case Manager/Care Coordinator 1407 Saint Andrew St Ste 100, La Crosse, WI 54603-2378 2009-02-24
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Office Location

Street Address 160 E MAIN ST
City PORT JERVIS
State NY
Zip Code 12771-2114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659360709 Bon Secours Community Hospital General Acute Care Hospital 160 E Main St, Port Jervis, NY 12771-2253 2005-10-20
1457987521 Delaware River Medicine, Pllc Hospitalist 160 E Main St, Port Jervis, NY 12771-2253 2020-03-20
1215573001 Jessica Velez Physical Therapist 160 E Main St, Port Jervis, NY 12771-2253 2019-11-27
1063053973 Sheri Succi Nurse Practitioner 160 E Main St, Port Jervis, NY 12771-2253 2019-10-02
1417517202 Hospitalist Medicine Physician of New York - Newburgh PC Internal Medicine 160 E Main St, Port Jervis, NY 12771-2253 2019-06-14
1760868228 Robert Dolney Physical Therapist 160 E Main St, Port Jervis, NY 12771-2253 2015-08-07
1407247448 Leroy Leonard Jr. Nurse Practitioner 160 E Main St, Port Jervis, NY 12771-2253 2015-02-12
1699107813 Pharlin Noel Physician Assistant 160 E Main St, Port Jervis, NY 12771-2253 2013-07-30
1043511504 Elaine Margaret Ridley Dietitian, Registered 160 E Main St, Port Jervis, NY 12771-2253 2010-11-15
1558689372 Janet M Spano Pharmacist 160 E Main St, Port Jervis, NY 12771-2253 2010-05-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164045571 Mary Ann Ricci Counselor 155 West Main, Port Jervis, NY 12771 2020-05-20
1982236022 Jylian Ann Jackson Social Worker 146 Pike Street Outpatient Clinic, Port Jervis, NY 12771 2020-02-06
1336605591 Dominic James Costantino Physical Therapist 17 Franklin Street, Port Jervis, NY 12771 2019-02-13
1871011775 Pamela Ann Gluck Counselor 17 Sussex Street, Port Jervis, NY 12771 2017-08-31
1891211868 Jamie Muller Home Health Aide 12 Mt William St, Port Jervis, NY 12771 2017-08-21
1922456649 Greenville Township Volunteer Ambulance Corps Inc Ambulance 1495 Greenville Turnpike, Port Jervis, NY 12771 2016-06-03
1659702363 Agnes Timberger Social Worker 626 Eatontown Road, Port Jervis, NY 12771 2013-12-05
1962795708 Olga I Murray Registered Nurse 125 E. Main St., Port Jervis, NY 12771 2011-05-26
1407089444 Daniel David Gersten Counselor 17-19 Sussex Street, Port Jervis, NY 12771 2009-08-25
1447404736 Ann Marie Brown Counselor 136 Jersey Avenue, Suite 1, Port Jervis, NY 12771 2008-11-13
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1508412503 Julie Marie Giles Nurse Practitioner 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 2019-08-15
1952874604 Alice M Carrington Nurse Practitioner 61 Syracuse St, Baldwinsville, NY 13027-2929 2019-01-05
1629597224 Guerdy M Michel-loiseau Nurse Practitioner 90-01 Broadway, Elmhurst, NY 11373 2017-09-14
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Competitor

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City PORT JERVIS
Zip Code 12771

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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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