Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DUANE FREDERICKS, M.D.
ActiveDUANE FREDERICKS, M.D. is a Obesity Medicine healthcare provider located in NEW YORK, New York. NPI 1184618886 is currently active in the NPPES registry. Verify at CMS.
Obesity Medicine · NEW YORK, NY
Registration Details
- NPI Number
- 1184618886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2005 (20.955604126525 yrs)
- Last Updated
- Oct 18, 2020
- Licenses
-
25MA08928300 (NJ)25MA08928300 (NJ)P40643 (NY)
Practice Information
- Address
-
530 1ST AVESK 10SNEW YORK, NY, 100166402Browse NY providers · Browse ZIP 10016
- Phone
- 2122633166
- Primary Specialty
-
Obesity Medicine
207QB0002X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- General Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.