Individual
MR. FRED EUGENE NOTARNICOLA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
474 OVINGTON AVE STE LL, BROOKLYN, NY 11209-1554
(718) 238-2625
(718) 238-2704
Mailing address
20 WETMORE RD, STATEN ISLAND, NY 10301-4439
(718) 238-2625
(718) 238-2704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226352
NY
Other
Enumeration date
09/25/2006
Last updated
11/03/2023
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