Individual
MR. FREDDY NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8 MAPLE AVE, BAY SHORE, NY 11706-8722
(631) 665-4392
Mailing address
340 S 3RD ST APT A2, BROOKLYN, NY 11211-6347
(347) 451-6727
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013116
NY
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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