Individual
DR. FREDERICK B ACHILDIEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARK AVE, BAY SHORE, NY 11706-7381
(631) 581-4400
(631) 277-3750
Mailing address
15 PARK AVE, BAY SHORE, NY 11706-7381
(631) 581-4400
(631) 277-3750
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
242230
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02957468
—
NY
01
—
242230
LICENSE
NY
Enumeration date
01/22/2008
Last updated
12/02/2009
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