Individual
FRITZNER BOURDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3305 AVENUE J, BROOKLYN, NY 11210-4117
(718) 377-3627
(718) 377-3097
Mailing address
3305 AVENUE J, BROOKLYN, NY 11210-4117
(718) 377-3627
(718) 377-3097
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
186752
NY
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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