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Organization

FEDERATION OF ORGANIZATIONS

Active
Other names
FEDERATION OF ORGANIZATION
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GLORIA O FREDRICK RN (RN)
(718) 215-1952
Entity
Organization

Contact information

Practice address
11606 MYRTLE AVE FL 4, RICHMOND HILL, NY 11418-1748
(718) 215-1952
(718) 441-3701
Mailing address
11606 MYRTLE AVE FL 4, RICHMOND HILL, NY 11418-1748

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000000
N/A
Enumeration date
08/08/2017
Last updated
09/12/2017
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