Individual
ALEXANDRA FAYNE-FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 E 94TH ST, NEW YORK, NY 10128-5604
(212) 423-3000
Mailing address
320 E 94TH ST, NEW YORK, NY 10128-5604
(212) 423-3000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
315759
NY
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
315759
NY
Other
Enumeration date
03/25/2019
Last updated
07/07/2025
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