Individual
DR. FRED WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
152-74 JEWEL AVE, FLUSHING, NY 11367-1436
(718) 261-7373
(845) 624-1010
Mailing address
152-74 JEWEL AVE, FLUSHING, NY 11367-1436
(718) 261-7373
(845) 624-1010
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00687554
—
NY
Enumeration date
02/02/2007
Last updated
06/25/2008
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