Fredericks, Christina

Fredericks, Christina is an individual health care provider with primary practice located at 45 Reade Pl , Poughkeepsie NY 12601-3947. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fredericks, Christina can be contacted via phone (845) 483-6217.

Contact Information

Primary practice address
45 Reade Pl Poughkeepsie NY 12601-3947
Phone: (845) 483-6217
Fax: (845) 483-6108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303438 New York

Profile Details

NPI number 1730111352
LBN Legal business name Fredericks, Christina
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Feb 13th, 2017 - about 8 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 1730111352 NPPES
New York MEDICAID 02634417

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