Provider Demographics
NPI:1184189284
Name:LINDSEY, PATRICK FITZGERALD
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:FITZGERALD
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 MAPES AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-1271
Mailing Address - Country:US
Mailing Address - Phone:917-753-0445
Mailing Address - Fax:
Practice Address - Street 1:2118 MAPES AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-1271
Practice Address - Country:US
Practice Address - Phone:917-753-0445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst