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NPI Code Detail

MEDICARE: DR. CLAIRE PATRICIA FITZPATRICK D.C.

MEDICARE: DR. CLAIRE PATRICIA FITZPATRICK D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor011090NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111652770OTHERCTCAQH PROVIDER ID

General Provider Information

NPI Number : 1679631139
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLAIRE PATRICIA FITZPATRICK D.C.
Provider Business Mailing Address
First Line : 181 LEXINGTON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-6446
Country : US
Telephone Number : 646-797-3291
Fax Number : 833-507-1330
Provider Business Practice Location Address
First Line : 181 LEXINGTON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-6446
Country : US
Telephone Number : 646-797-3291
Fax Number : 833-507-1330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 12/06/2021

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