Individual
MR. FREDERICK CHARLES ALBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
189 MAIN RD, RIVERHEAD, NY 11901-1957
(631) 288-7120
Mailing address
18 DAVE LN, SOUTH SETAUKET, NY 11720-1007
(631) 619-6871
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306531
NY
Other
Enumeration date
09/02/2013
Last updated
02/11/2021
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