Individual
FREDERICK STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 FULTON ST, BROOKLYN, NY 11217
(718) 596-9800
(718) 596-9889
Mailing address
650 FULTON ST, ADMINISTRATION, BROOKLYN, NY 11217
(718) 596-9800
(718) 596-9889
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1443181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010223901
AMERICHOICE
—
01
—
0673095
BCBS
—
01
—
144318B21
HEALTHFIRST
—
01
—
16P8191
NYPRESCHP
—
01
—
2645107
AETNA
—
01
—
297794
GHI
—
01
—
4341319
PPO POS
—
Enumeration date
03/21/2006
Last updated
12/27/2012
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