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NPI Code Detail

MEDICARE: CHRISTINE MARIE FITZSIMMONS PMHNP

MEDICARE:   CHRISTINE MARIE FITZSIMMONS  PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner403682NY

General Provider Information

NPI Number : 1982220919
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MARIE FITZSIMMONS PMHNP
Provider Business Mailing Address
First Line : 580 5TH AVE STE 820
Second Line :
City : NEW YORK
State : NY
Zip : 10036-9994
Country : US
Telephone Number : 929-314-1147
Fax Number : 929-269-8029
Provider Business Practice Location Address
First Line : 500 W 180TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10033-5905
Country : US
Telephone Number : 718-218-4874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2020
Last Update Date : 03/13/2025

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