Individual
DIANNE FREDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
10201 66TH RD, FOREST HILLS, NY 11375-2029
(718) 830-4091
Mailing address
66 POWERHOUSE RD, 3 FL, ROSLYN HEIGHTS, NY 11577-1324
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
212722
NY
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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