Individual
FREDERICK IGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(718) 998-1415
(718) 627-1855
Mailing address
1051 HENDRIX ST, BROOKLYN, NY 11207-9103
(347) 235-2163
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019384-1
NY
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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