| Doctor Name: | ELIZABETH FITZPATRICK |
| NPI Number: | 1356440101 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F340646 |
| Business Practice Address: | 160 E Main St Port Jervis, NY - 127712114 |
| Business Phone Number: | 8458587000 |
| Business Fax Number: | |
| Mailing Address: | 20 Grand St, Fl 3 WARWICK |
| State: | NY |
| Postal Code: | 109901035 |
| Phone Number: | 8459873973 |
| Fax Number: | 8459875979 |
| NPI Enumeration Date: | 09/21/2006 |
| NPI Last Update Date: | 03/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | F340646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |