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Dale Fredericks
NPI 1437700416 · on the registry since 2019 · sole proprietor
Practice
- Address
- 152 E 39th St Apt 2r
Brooklyn, NY 11203 - Phone
- (516) 589-9777
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 103K00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-23
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