Individual
EDWARD FRUITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1451 BROADWAY, HEWLETT, NY 11557-1426
(516) 295-4867
Mailing address
1451 BROADWAY, HEWLETT, NY 11557-1426
(516) 295-4867
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
191097-1
NY
Other
Enumeration date
11/15/2006
Last updated
10/14/2011
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