MEDICARE: DR. FREDERICK CLARE M.D.

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	174400000X	Specialist	126908	NY
2	207V00000X	Obstetrics & Gynecology Physician	126908	NY

General Provider Information

NPI Number	:	1932298510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK CLARE M.D.

Provider Business Mailing Address
First Line	:	106 VICTORY BLVD
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10804-2219
Country	:	US
Telephone Number	:	914-393-3068
Fax Number	:	917-997-9555

Provider Business Practice Location Address
First Line	:	3845 10TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-1850
Country	:	US
Telephone Number	:	914-393-3068
Fax Number	:	917-997-9555

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	03/19/2025

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Directions to “ DR. FREDERICK CLARE M.D.” Practice Location

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