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

Rudy Frederic

Individual provider Licensed Practical Nurse · NPI 1063866457

Rudy Frederic is a Licensed Practical Nurse in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

633 E 16th St Apt D5
Brooklyn, NY 11226-6568
Phone: (347) 651-3938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 324616 (NY)

Record details

NPI number1063866457
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 21, 2016
Last updated in NPPESApril 21, 2016

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