Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fitzgerald Tardieu

Individual provider Psychologist · NPI 1750175105

Fitzgerald Tardieu is a Psychologist in Queens Village, New York. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

21828 104th Ave
Queens Village, NY 11429-2051
Phone: (347) 530-8503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1750175105
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 8, 2025
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

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