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CARIDAD I FRESNEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
30 KIMBALL AVE, YONKERS, NY 10704-4221
(914) 237-8282
(914) 237-8575
Mailing address
30 KIMBALL AVE, YONKERS, NY 10704-4221
(914) 237-8282
(914) 237-8575

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
190207
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000088706
GHI HMO #
NY
01
004086
CONNECTICARE #
NY
05
01389486
NY
01
0453253
AETNA #
NY
01
190207
HIP#
01
239874
WELLCARE (YONKERS) #
NY
01
319254
WELLCARE (NEW YORK) #
NY
01
3C7286
HEALTHNET#
NY
01
4126116
TACONIC#
NY
01
5413A1
EMPIRE BC/BS (YONKERS)
NY
01
5413A2
EMPIRE BC/BS (NEW YORK)
NY
01
5996376
GHI PPO
NY
01
P00292042
RAILROAD MDCR #
NY
01
WP733
OXFORD#
NY
Enumeration date
08/11/2005
Last updated
06/29/2022
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