Jillian Fitzgerald, LAC
Individual provider Active NPI Acupuncturist · Garrison, NY
NPI 1750818290 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1750818290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 005101-1 (NY)
- Practice address
- 50 Old Manitou Rd
Garrison, NY 10524-3310 - Phone
- (845) 519-7370
- NPI assigned
- May 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005101-1 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 005101-1 | NY | Yes |
Addresses
Primary practice location
50 Old Manitou Rd
Garrison, NY 10524-3310
Mailing address
50 Old Manitou Rd
Garrison, NY 10524-3310
Phone (845) 519-7370
Other providers in Garrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.