EDWARD J FREDERICK

BRONX, NY
NPI1023145117
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  002473)
Enumeration Date2007-02-27
Last Update Date2007-07-08
Business Address
EDWARD J FREDERICK PA
111 E 210TH ST MMC - DEPT. OF MEDICINE
BRONX, NY 10467-2401
Phone number: 718-920-6700
Mailing Address
EDWARD J FREDERICK PA
110 DEHAVEN DR APT. 222
YONKERS, NY 10703-1278
Phone number: 718-920-6700
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