JEAN A FREDERIC

BROOKLYN, NY
NPI1831398296
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  003751-1)
Enumeration Date2007-07-16
Last Update Date2007-07-16
Business Address
-- JEAN A FREDERIC P.A
121 DEKALB AVE BROOKLYN
BROOKLYN, NY 11201-5425
Phone number: 718-250-8103
Mailing Address
-- JEAN A FREDERIC P.A
121 DEKALB AVE BROOKLYN
BROOKLYN, NY 11201-5425
Phone number: 718-250-8103
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