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NPI Code Detail

MEDICARE: FRAIDY CENSOR

MEDICARE: FRAIDY CENSOR
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
1174400000XSpecialistNY

General Provider Information

NPI Number : 1679419006
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRAIDY CENSOR
Provider Business Mailing Address
First Line : 1312 38TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3612
Country : US
Telephone Number : 718-686-3700
Fax Number :
Provider Business Practice Location Address
First Line : 1312 38TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3612
Country : US
Telephone Number : 718-686-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ FRAIDY CENSOR ” Practice Location

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