Individual
DR. FREDERICK PETER HIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 IRVING AVE, SUITE 314, SYRACUSE, NY 13210-1603
(315) 424-0151
(315) 476-0967
Mailing address
1001 W FAYETTE ST, SUITE 400, SYRACUSE, NY 13204-2859
(315) 472-1488
(315) 472-8060
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
144531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306
ASPRS
NY
Enumeration date
10/10/2006
Last updated
08/13/2010
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