Individual
JULISSA FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
822 ROUTE 82 STE 320, HOPEWELL JUNCTION, NY 12533-7374
(845) 520-9904
Mailing address
10 LONGFELLOW DR, CARMEL, NY 10512-5260
(845) 598-1336
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
NY
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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