| Fitzmaurice Community Services Inc | |
|
2115 N 5th St Stroudsburg PA 18360-2801 | |
| (570) 424-6223 | |
| Not Available |
| Full Name | Fitzmaurice Community Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2115 N 5th St, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Koster (PRESIDENT) |
| Authorized Official Contact | 5704246223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fitzmaurice Community Services Inc 2115 N 5th St Stroudsburg PA 18360-2801 Ph: (570) 424-6223 | Fitzmaurice Community Services Inc 2115 N 5th St Stroudsburg PA 18360-2801 Ph: (570) 424-6223 |
| NPI Number | 1316015530 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316015530 | NPI | - | NPPES |
| 1000017620061 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (Pennsylvania) | Secondary |
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