Provider Demographics
NPI:1033773361
Name:FITZPATRICK, JULIA ELIZABETH (PA-C)
Entity type:Individual
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First Name:JULIA
Middle Name:ELIZABETH
Last Name:FITZPATRICK
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:11 BAYVIEW CT
Mailing Address - Street 2:
Mailing Address - City:SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-4003
Mailing Address - Country:US
Mailing Address - Phone:631-707-1506
Mailing Address - Fax:631-306-7949
Practice Address - Street 1:75 N COUNTRY RD
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2190
Practice Address - Country:US
Practice Address - Phone:631-473-1320
Practice Address - Fax:631-306-7949
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-22
Last Update Date:2025-01-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant