Individual
MR. NEIL FRUCHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 COOPER AVE, HUNTINGTON STATION, NY 11746-3506
(631) 427-6823
(631) 427-2654
Mailing address
2 COOPER AVE, HUNTINGTON STATION, NY 11746-3506
(631) 427-6823
(631) 427-2654
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02245132
—
NY
Enumeration date
09/27/2006
Last updated
07/09/2007
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