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Samuel Fredericks
NPI 1245098250 · on the registry since 2024
Practice
- Address
- 334 E 26th St Apt 25bc
New York, NY 10010 - Phone
- (917) 318-6514
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York