Individual
IOSIF FRADLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2829 OCEAN PKWY STE 2, BROOKLYN, NY 11235-7859
(718) 891-6372
(718) 891-5198
Mailing address
606 MICHELLE PLACE, NORTH WOODMERE, NY 11581
(516) 791-5849
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
207428-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01890188
—
NY
Enumeration date
08/15/2006
Last updated
07/08/2007
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