Provider Demographics
NPI:1689351165
Name:FITZPATRICK, ABIGAIL SHAY (PA-C)
Entity Type:Individual
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First Name:ABIGAIL
Middle Name:SHAY
Last Name:FITZPATRICK
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:231 CONKLINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-5603
Mailing Address - Country:US
Mailing Address - Phone:845-325-0867
Mailing Address - Fax:
Practice Address - Street 1:736 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2907
Practice Address - Country:US
Practice Address - Phone:617-779-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical