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NPI Code Detail

MEDICARE: MS. SHARON FITZGERALD MA IN MFT

MEDICARE: MS. SHARON FITZGERALD MA IN MFT
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
1225700000XMassage Therapist002459-1NY
2106H00000XMarriage & Family Therapist000744NY

General Provider Information

NPI Number : 1740457894
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARON FITZGERALD MA IN MFT
Provider Business Mailing Address
First Line : 359 BALLSTON AVE
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-4723
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 359 BALLSTON AVE
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-4723
Country : US
Telephone Number : 518-587-8008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2008
Last Update Date : 04/14/2009

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