DANIEL ROBERT FITZGERALD


Address: Stony Brook University Hospital, School of Dental Medicine 151 Westchester Hall, Stony Brook, NY 11794-8711
Phone: 6314442557

DANIEL ROBERT FITZGERALD (NPI# 1821629247) 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) 1821629247
Entity Type Individual
Full Name DANIEL ROBERT FITZGERALD
Credential DMD
Practice Address Stony Brook University Hospital
School of Dental Medicine 151 Westchester Hall
Stony Brook
NY 11794-8711
Mailing Address 308 Old Farms Rd
S Glastonbury
CT 06073-3724
Practice Telephone 6314442557
Mailing Telephone 8606825704
Enumeration Date 2020-02-04
Last Update Date 2020-02-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

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1972112456 Daniel William Fitzgerald Internal Medicine 402 E 67th St Fl 2, New York, NY 10065-6304 2020-07-30
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1356563118 Daniel Edmund Fitzgerald Physical Therapist 1215 Bockius Ave, Abington, PA 19001 2007-05-02
1184109423 Daniel Evan Fitzgerald Pharmacist 325 New Castle Rd, Butler, PA 16001-2418 2018-10-02
1457729055 Daniel Fitzgerald Developmental Therapist 321 Fortune Blvd, Milford, MA 01757-1750 2015-09-14
1346505138 Daniel Jason Fitzgerald Specialist/Technologist 190 Rosewood Centre Dr, Suite 100, Holly Springs, NC 27540-7628 2012-07-09
1093007221 Daniel James Fitzgerald Family Medicine 12935 Gregory St, Blue Island, IL 60406 2011-05-05
1588738215 Daniel Joseph Fitzgerald IIi Psychiatry & Neurology 74075 El Paseo, Ste B-1, Palm Desert, CA 92260-4118 2006-11-17

Office Location

Street Address STONY BROOK UNIVERSITY HOSPITAL
SCHOOL OF DENTAL MEDICINE 151 WESTCHESTER HALL
City STONY BROOK
State NY
Zip Code 11794-8711

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144273228 David Talbot Lawrence Emergency Medicine Stony Brook University Hospital, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 2006-05-18
1518592120 Marina Aknouk Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, School of Dental Medicine 151 Westchester Hall, Stony Brook, NY 11794-8711 2020-03-04
1578121463 Mary Elizabeth Paciella Registered Nurse Stony Brook University Hospital, 101 Nichols Road Sbuh 8s Room 142, Stony Brook, NY 11794-7080 2019-06-05
1720547227 Gabrielle Bekov Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Department of Hospital Dentistry- 151 Westchester Hall, Stony Brook, NY 11794-8711 2019-03-14
1407350614 Ewa Zabrocka Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Level 2, Stony Brook, NY 11794 2018-03-21
1366975443 Vivian Asakoma Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Department of Pediatrics Hsc T-11/040, Stony Brook, NY 11794-8111 2017-04-06
1518490945 Hannah Marie Thompson Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Health Sciences Tower, Level 19, Room 030, Stony Brook, NY 11794-8191 2017-04-03
1427581859 Khai Hoai Anh Gustav Diep Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Health Sciences Tower, Level 19, Room 030, Stony Brook, NY 11794-8191 2017-04-03
1942732441 Yueting Yang Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Hsc T-11 / 040, Stony Brook, NY 11794-8111 2017-04-03
1144752734 Jessie Weikang Zhang Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Department of Pediatrics Hsc T-11 / 040, Stony Brook, NY 11794-8111 2017-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619506714 Ryan John Kottmeier Physician Assistant 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 2020-04-02
1699302109 Michael Trentalange Student in an Organized Health Care Education/Training Program Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 2020-03-25
1164985156 Lauren Kate Harris Student in an Organized Health Care Education/Training Program Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 2019-04-08
1851851448 Kathy Tin Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 2019-03-21
1174083703 Arham Khan Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 2019-03-20
1396221982 Aman Bhojani Student in an Organized Health Care Education/Training Program Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 2018-07-17
1699265629 Belliny Phaeton Student in an Organized Health Care Education/Training Program Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-15
1629568969 Rachel Herold Student in an Organized Health Care Education/Training Program Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-11
1598254419 Nora Ann Diraimondo Nurse Practitioner Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 2018-05-07
1386140705 Ryan Christopher Corn Student in an Organized Health Care Education/Training Program Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 2018-04-04
Find all providers in zip 11794

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417563081 Stephen Quiery Student in an Organized Health Care Education/Training Program 24 Old Wood Rd, Stony Brook, NY 11790-1028 2020-09-19
1073133443 Katherine Anne De Jesus Student in an Organized Health Care Education/Training Program 101 Nicholls Road Level 1, Stony Brook, NY 11794-7007 2020-04-25
1174142459 Valerie Elyse Spano Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, School of Dental Medic, 151 Westchester Hall, Stony Brook, NY 11794-8711 2020-04-16
1598384190 Bryce Charles Schroeder Student in an Organized Health Care Education/Training Program Stony Brook University Hospital Hsc Level 4, Room 176, Stony Brook, NY 11794-0001 2020-04-13
1689293722 Pallavi Tatapudy Student in an Organized Health Care Education/Training Program Suny-stony Brook Health Science Ctr/t-10 020, Stony Brook, NY 11794-8101 2020-04-09
1821627597 Justice Uzoma Achonu Student in an Organized Health Care Education/Training Program Stony Brook Medicine Hsc T-18 - 089, Stony Brook, NY 11794-8181 2020-04-05
1588293682 Jaymie Eureko Oentoro Student in an Organized Health Care Education/Training Program 101 Nicolis Road, Stony Brook University Hospital, Department of Patholog, Stony Brook, NY 11794-7025 2020-04-02
1366071482 Shantel Apeseche Student in an Organized Health Care Education/Training Program 101 Nicholls Road Hsc Level 11 Room 040, Stony Brook, NY 11794-0001 2020-04-02
1811526973 Prerna Khetan Student in an Organized Health Care Education/Training Program Stony Brook University Hospital, Nichols Road, Department of Pathology, Level 2- 749, Stony Brook, NY 11794-7025 2020-04-02
1962030056 Eddy B Sun Student in an Organized Health Care Education/Training Program Dept of Internal Medicine Hsc16-020, Stony Brook, NY 11794-0001 2020-04-01
Find all providers in STONY BROOK

Competitor

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City STONY BROOK
Zip Code 11794

Improve Information

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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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