Mendelsohn, Frederic A

Mendelsohn, Frederic A is an sole proprietor health care provider with primary practice located at 650 Hawkins Ave Suite 7, Ronkonkoma NY 11779-2366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mendelsohn, Frederic A can be contacted via phone (631) 737-0055.

Contact Information

Primary practice address
650 Hawkins Ave Suite 7 Ronkonkoma NY 11779-2366
Phone: (631) 737-0055
Fax: (631) 737-0076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 112676 New York

Profile Details

NPI number 1336247691
LBN Legal business name Mendelsohn, Frederic A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Jul 21st, 2010 - about 14 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 1336247691 NPPES
New York MEDICAID 00655156

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