Frederick, Peter Jonathan

Frederick, Peter Jonathan is an individual health care provider with primary practice located at Elm And Carlton Streets , Buffalo NY 14263-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Frederick, Peter Jonathan can be contacted via phone (716) 845-2300.

Contact Information

Primary practice address
Elm And Carlton Streets Buffalo NY 14263-0001
Fax: (716) 845-7608
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 256843 New York

Profile Details

NPI number 1558579078
LBN Legal business name Frederick, Peter Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 15th, 2019 - about 6 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 1558579078 NPPES
New York MEDICAID 03241976

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