DALE FREDERICKS
NPI 1437700416
Specialist in Brooklyn, NY

Active since September 22, 2019
152 E 39TH ST APT 2R, BROOKLYN, NY 11203(516) 589-9777 Get Directions Write a Review

NPPES record last updated: May 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2021, Sep 22, 2019 (2 updates tracked since 2019).

About Dale Fredericks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE FREDERICKS (NPI 1437700416) is an individual specialist in Brooklyn, New York, licensed in New York (1364035191) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1437700416
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDALE FREDERICKS
Location Address152 E 39TH ST APT 2RBrooklyn, NY 11203-2940
Mailing Address152 E 39th St Apt 2rBrooklyn, NY 11203-2940
Sole ProprietorYes
Enumeration DateSeptember 22, 2019
Last NPPES UpdateMay 23, 20212 updates tracked since enumeration
NPPES CertifiedMay 23, 2021
NPI 1437700416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 1364035191
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedBehavior AnalystTaxonomy 103K00000X
152 E 39TH ST APT 2R, Brooklyn, NY 11203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Fredericks's NPI number?

The NPI number for Dale Fredericks is 1437700416. It was assigned to this individual provider in the NPPES registry on September 22, 2019.

Where is Dale Fredericks located?

Dale Fredericks practices at 152 E 39th St Apt 2R, Brooklyn, NY 11203. The listed phone number is (516) 589-9777.

What is Dale Fredericks's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dale Fredericks was last updated on May 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.