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Mrs. Benita Fredrick, PTA
Specialist in Freeport, New York
NPI 1902813926

Benita Fredrick is a Specialist based in Oceanside, NY. Benita Fredrick practices in Freeport, NY and has the professional credentials of PTA. The NPI Number for Benita Fredrick is 1902813926 and holds a License No. 006435-1 (New York).

The current practice location address for Benita Fredrick is 49 Church St, Freeport, NY and can be reached out via phone at 516-623-6253.

Location: 49 Church St, Freeport, NY, 11572-1905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902813926
Provider Name
Benita Fredrick
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
49 Church St, Freeport, NY, 11572-1905
Phone Number
516-623-6253
Fax Number
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
49 Church St
City
Freeport
State
New York
Zip
11520-3830
Phone Number
516-623-6253
Fax Number
person
Provider Business Mailing Address Details
Address
49 Church St
City
Freeport
State
New York
Zip
11520-3830
Phone Number
516-623-6253
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
006435-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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