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1104435981
FREDERICK SHIELDS
NEW HYDE PARK, NY
NPI
1104435981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F403085)
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
FREDERICK SHIELDS
27005 76TH AVE
NEW HYDE PARK, NY 11040-1402
Phone number: 718-470-3768
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Mailing Address
FREDERICK SHIELDS
24228 130TH RD
ROSEDALE, NY 11422-1143
Phone number:
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