Individual
FREDERICK SCHOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
1980 WADING RIVER MANOR RD, WADING RIVER, NY 11792-2137
(631) 455-0330
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402018
NY
Other
Enumeration date
07/21/2016
Last updated
08/26/2016
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