Individual provider · Type 1 NPI
Dorene Catherine Frederick, NP
Women's Health Nurse Practitioner · Syosset, NY
NPI number
1508921545
Active
Practice location
243 Jericho Tnpk
Syosset, NY 11791
Fax (516) 682-8901
Mailing address
724 Towne House Vlg
Hauppauge, NY 11749-4819
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | F420681 (NY) |
Women's Health Nurse Practitioner: Definition to come...
About NPI 1508921545
Dorene Catherine Frederick, NP's National Provider Identifier is 1508921545, issued on Dec 27, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Syosset, NY. The record was last updated on Jul 8, 2007.