Warren, Fred

Warren, Fred is an sole proprietor health care provider with primary practice located at 152-74 Jewel Ave , Flushing NY 11367-1436. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Warren, Fred can be contacted via phone (718) 261-7373.

Contact Information

Primary practice address
152-74 Jewel Ave Flushing NY 11367-1436
Phone: (718) 261-7373
Fax: (845) 624-1010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003300 New York

Profile Details

NPI number 1578601225
LBN Legal business name Warren, Fred
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Jun 25th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578601225 NPPES
New York MEDICAID 00687554

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