| Doctor Name: | MS. JENNIFER M MULVEY FITZGERALD |
| NPI Number: | 1023261849 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP, CDE |
| License Number: | 334323 |
| Business Practice Address: | 26 Research Way Suite 1 East Setauket, NY - 117333526 |
| Business Phone Number: | 9146499993 |
| Business Fax Number: | |
| Mailing Address: | 26 Research Way, Suite 1 EAST SETAUKET |
| State: | NY |
| Postal Code: | 117333526 |
| Phone Number: | 9146499993 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2008 |
| NPI Last Update Date: | 11/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 334323 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |