Individual
FREDERICK ANDREW PEREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51-14 KISSENA BLVD, FLUSHING, NY 11355-4163
(718) 359-4425
(718) 359-3729
Mailing address
51-14 KISSENA BLVD, FLUSHING, NY 11355-4163
(718) 359-4425
(718) 359-3729
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
103733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00180043
—
NY
Enumeration date
04/28/2006
Last updated
08/21/2008
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