Frederick, Carla Anne

Frederick, Carla Anne is an individual health care provider with primary practice located at 100 High St B8, Buffalo NY 14203-1126. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Frederick, Carla Anne can be contacted via phone (716) 859-2271.

Contact Information

Primary practice address
100 High St B8 Buffalo NY 14203-1126
Phone: (716) 859-2271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 256853 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 256853 New York

Profile Details

NPI number 1093913519
LBN Legal business name Frederick, Carla Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Mar 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093913519 NPPES
New York MEDICAID 03306076

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