# FRADLIS GENERAL MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538147780
- **Authorized official:** KLARA FRADLIS M.D. (PRESIDENT)
- **Authorized official phone:** (718) 891-6500

## Contact information

- **Practice address:** 2829 OCEAN PKWY, BROOKLYN, NY 11235-7858
- **Practice address phone:** (718) 891-6500
- **Practice address fax:** (718) 891-5198
- **Mailing address:** 606 MICHELLE PL, NORTH WOODMERE, NY 11581-3041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 210932 | NY | Yes |

## Other

- **Enumeration date:** 01/06/2006
- **Last updated:** 08/22/2020