Pereira, Frederick Andrew
Pereira, Frederick Andrew is an sole proprietor health care provider with primary practice located at 51-14 Kissena Blvd , Flushing NY 11355-4163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Pereira, Frederick Andrew can be contacted via phone (718) 359-4425.Contact Information
Primary practice address
51-14 Kissena Blvd
Flushing NY 11355-4163
Phone: (718) 359-4425
Fax: (718) 359-3729
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 103733 | New York |
Profile Details
NPI number | 1578520862 |
---|---|
LBN Legal business name | Pereira, Frederick Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 28th, 2006 |
Last updated | Aug 21st, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578520862 | NPPES |
New York | MEDICAID | 00180043 |
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