Individual
DR. FREDERIC GIAUQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1974 1ST AVE, NEW YORK, NY 10029-6430
(212) 831-2200
Mailing address
1400 5TH AVE APT 7B, NEW YORK, NY 10026-2587
(212) 289-3060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02736496
—
NY
Enumeration date
01/18/2007
Last updated
07/08/2007
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