SIMON MICHAEL FITZGERALD

BROOKLYN, NY
NPI1407140767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY  12322090)
Enumeration Date2011-06-04
Last Update Date2011-06-04
Business Address
-- SIMON MICHAEL FITZGERALD MPH
450 CLARKSON AVE
BROOKLYN, NY 11203-2012
Phone number: 410-466-1713
Mailing Address
-- SIMON MICHAEL FITZGERALD MPH
1817 SULGRAVE AVE
BALTIMORE, MD 21209-4515
Phone number: 410-466-1713