Individual
NADIA N FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
525 E 68TH ST, GREENBERG PAVILION RM 10-171, NEW YORK, NY 10065-4870
(212) 746-0838
(516) 437-4167
Mailing address
1981 MARCUS AVE, SUITE 208, NEW HYDE PARK, NY 11042-1038
(212) 746-0838
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
006352
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006352
LICENSE NUMBER
NY
Enumeration date
01/02/2008
Last updated
01/02/2008
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