Fredrique Green
Fredrique Green is a Physician Assistant in Jamaica, New York. Qualified in 2024, 2 years ago. Practices as a sole proprietor.
- Years since qualifying
- 2
- In the registry since
- 2025
Practice location Address checks out
9420 Guy R Brewer BlvdJamaica, NY 11451-0001
Phone: (718) 262-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1437960127 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 14, 2025 |
| Last updated in NPPES | January 14, 2025 |
| Certification date | January 14, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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