KELLY FITZGERALD NPI 1730565581

NPI Information

  • NPI: 1730565581
  • Provider Name: KELLY FITZGERALD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 4 ARLINGTON AVE
    SAINT JAMES, NY
    ZIP 11780
  • Phone: (631) 834-8166

Map and Directions

Get Directions

NPI Details

Kelly Fitzgerald is a specialist in Saint James, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Kelly Fitzgerald NPI is 1730565581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4 ARLINGTON AVE
SAINT JAMES, NY
ZIP 11780-802
Phone: (631) 834-8166

The enumeration date for this NPI number is 8/4/2015 and was last updated on 8/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.