Provider Demographics
NPI:1679631139
Name:FITZPATRICK, CLAIRE PATRICIA (DC)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:PATRICIA
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-6446
Mailing Address - Country:US
Mailing Address - Phone:646-797-3291
Mailing Address - Fax:833-507-1330
Practice Address - Street 1:181 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-6446
Practice Address - Country:US
Practice Address - Phone:646-797-3291
Practice Address - Fax:833-507-1330
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011090111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT11652770OtherCAQH PROVIDER ID