MRS. BENITA FREDRICK PTA
NPI 1902813926
Specialist in Freeport, NY
- Individual
- Female
- Specialist
About BENITA FREDRICK
This page provides the complete NPI Profile along with additional information for Benita Fredrick, a provider established in Freeport, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1902813926 assigned on August 2006. The practitioner's primary taxonomy code is 174400000X with license number 006435-1 (NY). The provider is registered as an individual and her NPI record was last updated 19 years ago.
- NPI
- 1902813926 Verify this NPI
- Provider Name
- MRS. BENITA FREDRICK PTA
- Other Name
- MRS. BENITA FREDRICKS
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 49 CHURCH ST FREEPORT, NY 11520
- Location Phone
- (516) 623-6253
- Mailing Address
- 2856 CLARK AVE OCEANSIDE, NY 11572
- Mailing Phone
- (516) 594-2191
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 006435-1
- License State
- NY
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902813926, enumerated as an "individual" on August 02, 2006.
The provider is located at 49 CHURCH ST FREEPORT, NY 11520 and the phone number is (516) 623-6253.
Specialist with taxonomy code 174400000X.
