MEDICARE: MS. FRANCES ELIZABETH PETERSEN-FITZPATRICK MPH

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
1	183500000X	Pharmacist	032680	NY

General Provider Information

NPI Number	:	1083872253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FRANCES ELIZABETH PETERSEN-FITZPATRICK MPH

Provider Business Mailing Address
First Line	:	11 LEFFINGWELL PL
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10801-2403
Country	:	US
Telephone Number	:	914-235-5737
Fax Number	:	718-960-2063

Provider Business Practice Location Address
First Line	:	592 AMSTERDAM AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-2341
Country	:	US
Telephone Number	:	212-712-0818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2008
Last Update Date	:	05/24/2008

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