Individual
DR. CARLA ANNE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 HIGH ST, B8, BUFFALO, NY 14203-1126
(716) 859-2271
Mailing address
100 HIGH ST, B8, BUFFALO, NY 14203-1126
(716) 859-2271
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
256853
NY
208000000X
Pediatrics Physician
256853
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03306076
—
NY
Enumeration date
07/05/2007
Last updated
03/21/2012
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