MEDICARE: FRIEDA BEQUEAITH RN, MSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	958250	NY
2	176B00000X	Midwife	002434	NY
3	363LW0102X	Women's Health Nurse Practitioner	421929	NY

General Provider Information

NPI Number	:	1265225957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRIEDA BEQUEAITH RN, MSN

Provider Business Mailing Address
First Line	:	44 COURT ST FL 4
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4418
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 COURT ST FL 4
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4418
Country	:	US
Telephone Number	:	212-965-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2025
Last Update Date	:	11/25/2025

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