Most Relevant Information
Provider Data
| NPI Number: | 1003205477 |
| Provider Name: | MERCEDES LYNN FITZGERALD MASTERS OF SCIENCE |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 445770756 |
Most Important Dates
| Enumeration Date: | 01/22/2015 |
| Last Updated: | 01/22/2015 |
Provider Practice Location
159 W 1ST ST
OSWEGO
NY
131262045
Practice Location Phone/Fax
| Phone: | 3153429575 |
| Fax: | 3153427664 |
Provider Mailing Location
159 W 1ST ST
OSWEGO
NY
131262045
Provider Mailing Phone/Fax
| Phone: | 3153429575 |
| Fax: | 3153427664 |