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

Jeremy William Frutkin, MS

Individual provider Specialist · NPI 1679958805

Jeremy William Frutkin, MS is a Specialist in Tarrytown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

65 McKeel Ave
Tarrytown, NY 10591-3428
Phone: (914) 671-0604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2387783 (NY)

Record details

NPI number1679958805
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedJuly 29, 2015
Last updated in NPPESJuly 29, 2015

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