Fitzgerald Tardieu, - Psychologist in Queens Village, NY

Fitzgerald Tardieu, is a Psychologist based in Queens Village, New York. Fitzgerald Tardieu is licensed to practice in * (Not Available) (license number ) and his current practice location is 21828 104th Ave, Queens Village, New York. He can be reached at his office (for appointments etc.) via phone at (347) 530-8503.

NPI number for Fitzgerald Tardieu is 1750175105 and his current mailing address is 21828 104th Ave, Queens Village, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750175105.

Contact Information

Fitzgerald Tardieu,
21828 104th Ave,
Queens Village, NY 11429-2051
(347) 530-8503
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameFitzgerald Tardieu
GenderMale
SpecialityPsychologist
Location21828 104th Ave, Queens Village, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1750175105
  • Provider Enumeration Date: 04/08/2025
  • Last Update Date: 04/08/2025

Medical Identifiers

Medical identifiers for Fitzgerald Tardieu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750175105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fitzgerald Tardieu is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fitzgerald Tardieu,
21828 104th Ave,
Queens Village, NY 11429-2051

Ph: () -
Fitzgerald Tardieu,
21828 104th Ave,
Queens Village, NY 11429-2051

Ph: (347) 530-8503

Reviews and Comments


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