| Organization Name: | DENISE M FICKLIN-FITZGERALD |
| NPI Number: | 1124308093 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE M FICKLIN-FITZGERALD (REHABILITATION CHRISTIAN COUNSELOR) |
| Mailing Address: | 315 Madison Ave Suite 901 New York |
| State: | NY US |
| Postal Code: | 100175405 |
| Phone Number: | 8886661203 |
| Fax Number: | 2129571912 |
| NPI Enumeration Date: | 08/24/2011 |
| NPI Last Update Date: | 08/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 714520 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |