Individual
NICOLE MARIE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
139 FULTON ST RM 208, NEW YORK, NY 10038-2538
(212) 513-0437
Mailing address
139 FULTON ST RM 208, NEW YORK, NY 10038-2538
(212) 513-0437
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006331
NY
171100000X
Acupuncturist
6331
NY
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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