FREDERICK BERWIND

PORT JEFFERSON STATION, NY
NPI1700221785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  293187)
Enumeration Date2013-05-06
Last Update Date2013-05-06
Business Address
-- FREDERICK BERWIND
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776-3387
Phone number: 631-473-1200
Mailing Address
-- FREDERICK BERWIND
19 SUNRISE DR
SOUND BEACH, NY 11789-1851
Phone number: