Dr Douglas Fredman, DC | |
350 Broadway, Suite 205, New York, NY 10013-3911 | |
(212) 227-2368 | |
(212) 227-2369 |
Full Name | Dr Douglas Fredman |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 350 Broadway, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588725238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X010588-1 (New York) | Primary |
Provider Name | Hudson Health And Wellness |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619573615 PECOS PAC ID: 8224428974 Enrollment ID: O20211213000212 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Fredman, DC 350 Broadway, Suite 205, New York, NY 10013-3911 Ph: (212) 227-2368 | Dr Douglas Fredman, DC 350 Broadway, Suite 205, New York, NY 10013-3911 Ph: (212) 227-2368 |
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