Individual
MRS. FREDERICA GOTTDIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1520 E 13TH ST, BROOKLYN, NY 11230-7106
(718) 382-1060
Mailing address
1064 E 14TH ST, BROOKLYN, NY 11230-4266
(917) 859-6366
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
778055-01
NY
Other
Enumeration date
05/24/2021
Last updated
01/07/2022
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