Individual
FREDERICK NICOLAS CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(631) 552-0010
Mailing address
2239 HARMAN ST FL 1, RIDGEWOOD, NY 11385-1942
(631) 552-0010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
330885
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/26/2019
Last updated
08/29/2024
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