Individual provider · Type 1 NPI
Samuel Fredericks
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1245098250
Active
Practice location
334 E 26th St Apt 25BC
New York, NY 10010-1915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1245098250
Samuel Fredericks's National Provider Identifier is 1245098250, issued on Mar 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Mar 13, 2024.