Organization
FRADLIS MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IOSIF FRDALIS M.D. (PRSIDENT)
(718) 891-6500
Entity
Organization
Contact information
Practice address
2829 OCEAN PKWY, BROOKLYN, NY 11235-7858
(718) 891-6500
Mailing address
606 MICHELLE PL, NORTH WOODMERE, NY 11581-3041
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
207428
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01880189
—
NY
Enumeration date
01/06/2006
Last updated
12/03/2010
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