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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. BENITA FREDRICK, PTA

Active

MRS. BENITA FREDRICK, PTA is a Specialist healthcare provider located in FREEPORT, New York. NPI 1902813926 is currently active in the NPPES registry. Verify at CMS.

Specialist · FREEPORT, NY

Registration Details

NPI Number
1902813926
Provider Type
Individual
Gender
Female
NPI Issued
Aug 2, 2006 (20.018982026246 yrs)
Last Updated
Jul 8, 2007
License
006435-1 (NY)

Practice Information

Address
49 CHURCH ST
FREEPORT, NY, 115203830
Browse NY providers · Browse ZIP 11520
Phone
5166236253
Primary Specialty
Specialist
174400000X

Other Specialist Providers in FREEPORT, NY

Name Credential NPI
DR. LESTER N PLOSS M.D. 1750371241
JUAN L LEDON MD 1093825499
DR. LOUIS SWARTZ MD 1619056421
MICHAEL NICOLOSI DO 1093944647
MS. CARMEN M SIMPSON MS ED. 1396007860
GERDA ETIENNE VAVAL M.S.ED 1235491457
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.