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NPI Code Detail

MEDICARE: SYDNEY ELIZABETH FITZPATRICK PHARM D

MEDICARE: SYDNEY ELIZABETH FITZPATRICK PHARM D
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist067848NY
2183500000XPharmacist067848NY

General Provider Information

NPI Number : 1457923278
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYDNEY ELIZABETH FITZPATRICK PHARM D
Provider Business Mailing Address
First Line : 147 N COMRIE AVE
Second Line :
City : JOHNSTOWN
State : NY
Zip : 12095-1906
Country : US
Telephone Number : 518-762-4311
Fax Number : 518-762-5235
Provider Business Practice Location Address
First Line : 4999 STATE HIGHWAY 30
Second Line :
City : AMSTERDAM
State : NY
Zip : 12010-7521
Country : US
Telephone Number : 518-843-6661
Fax Number : 518-843-6667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2021
Last Update Date : 12/13/2021

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