Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clarence Frederique, LPN

Individual provider Licensed Practical Nurse · NPI 1487908745

Clarence Frederique, LPN is a Licensed Practical Nurse in Valley Stream, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

13 Cleveland St
Valley Stream, NY 11580-6003
Phone: (516) 823-0739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 311641 (NY)

Record details

NPI number1487908745
Entity typeIndividual (Type 1)
GenderMale
Credentials LPN
Sole proprietorNo
NPI enumeratedNovember 7, 2012
Last updated in NPPESNovember 7, 2012

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