Individual
DR. FREDERICK ANTHONY BEVELAQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 A EAST 35TH ST., NEW YORK, NY 10016
(212) 213-6796
(212) 213-4059
Mailing address
35 A EAST 35TH ST., NEW YORK, NY 10016
(212) 213-6796
(212) 213-4059
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
126040
NY
Other
Enumeration date
01/29/2007
Last updated
04/25/2012
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