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Contact Information

KIERIE L FITZGIBBON, MS, PA-C
177 FORT WASHINGTON AVE
NEW YORK, NY10032-3733
 Phone: 212-305-2862
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIERIE L FITZGIBBON · (Female)

NPI # 1114156304
Status Active
Credentials MS, PA-C
Entity Individual
Enumeration date 07/08/2009
Last updated 07/08/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 013362
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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