Provider Demographics
NPI:1760492631
Name:FITZ, ERIC W (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:W
Last Name:FITZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL, PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-666-3893
Practice Address - Street 1:101 S BEDFORD RD STE 404
Practice Address - Street 2:CAREMOUNT MEDICAL PC
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-3455
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-666-3893
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2016-11-11
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Provider Licenses
StateLicense IDTaxonomies
NY236241207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI40018Medicare UPIN
NYA400023735Medicare PIN