Individual
CHRISTINA FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 483-6217
(845) 483-6108
Mailing address
1989 ROUTE 52, STE 2, HOPEWELL JUNCTION, NY 12533-3533
(845) 765-2404
(845) 765-2406
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02634417
—
NY
Enumeration date
07/06/2006
Last updated
02/13/2017
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