Individual
DR. FREDERICK WAYNE AXELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
185 E 85TH ST, APT # 5K, NEW YORK, NY 10028-2140
(203) 863-3363
(203) 863-4739
Mailing address
185 E 85TH ST, APT # 5K, NEW YORK, NY 10028-2140
(203) 863-3363
(203) 863-4739
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
038076
CT
207L00000X
Anesthesiology Physician
192793-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01620093-4
—
NY
Enumeration date
09/29/2005
Last updated
07/26/2010
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