FRITZNER BOURDEAU (NPI# 1013112531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013112531 |
| Entity Type | Individual |
| Full Name | FRITZNER BOURDEAU |
| Credential | M.D. |
| Practice Address |
3305 Avenue J Brooklyn NY 11210-4117 |
| Practice Telephone | 7183773627 |
| Practice Fax Number | 7183773097 |
| Mailing Telephone | 7183773627 |
| Mailing Fax Number | 7183773097 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 186752 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3305 AVENUE J |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11210-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379554 | Maureen Rene | Health Educator | 3601 Avenue J Apartment C6, Brooklyn, NY 11210 | 2020-09-06 |
| 1346859501 | Karece Lopez | Speech-Language Pathologist | 2665 Bedford Avenue, 2c, Brooklyn, NY 11210 | 2020-07-23 |
| 1164049078 | Christopher Rose Community Empowerment Campaign | Voluntary or Charitable | 1404 Brooklyn Ave, Brooklyn, NY 11210 | 2020-06-26 |
| 1487296455 | Venture Kids Inc | Day Training, Developmentally Disabled Services | 1731 Flatbush Ave, Brooklyn, NY 11210 | 2019-10-11 |
| 1689131773 | Florence Nkiruka Okafor | Case Manager/Care Coordinator | 858 E 29th St., Brooklyn Ny 11210, Brooklyn, NY 11210 | 2019-02-25 |
| 1508339854 | Sharon Senior-anderson | Behavioral Analyst | 858 E. 29th St., Brooklyn, NY 11210 | 2019-01-09 |
| 1952874208 | Luz Liriano | Behavioral Analyst | 858 E. 29th Street, Brooklyn, Ny 11210, Brooklyn, NY 11210 | 2019-01-09 |
| 1073086492 | Sharon L Bradley | Behavioral Analyst | 853 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1922571348 | Anderson J Ali | Counselor | 859 E 29th St, Brooklyn, NY 11210 | 2019-01-08 |
| 1720553266 | Live Life Rehab Services LLC | Occupational Therapist | 3101 Ave I, Apt 1c, Brooklyn, NY 11210 | 2018-10-11 |
| Find all providers in zip 11210 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851535249 | Douglas J Coutu | Rehabilitation Practitioner | 180 Huron St, #4, Brooklyn, NY 11222-6010 | 2009-04-29 |
| 1689859480 | Ny Integrative Medicine PC | Rehabilitation Practitioner | 4809 8th Ave, Brooklyn, NY 11220-2213 | 2007-12-31 |
| 1023298007 | Rehabilitation Medicine of Ny PC | Rehabilitation Practitioner | 824 55 Street, Brooklyn, NY 11220 | 2007-11-07 |
| 1700818143 | Ronald Leopold Collins | Rehabilitation Practitioner | 7616 Bay Pkwy, Suite # 1, Brooklyn, NY 11214-1516 | 2006-07-07 |
| 1154350361 | Svs Wellcare Medical Pllc | Rehabilitation Practitioner | 7616 Bay Parkway, 1 Fl, Brooklyn, NY 11214-1516 | 2006-07-01 |
| 1558336479 | Zina Turovsky | Rehabilitation Practitioner | 2615 E 16th St, Ground Floor, Brooklyn, NY 11235-3805 | 2006-02-22 |
| 1588657241 | Edbert Morales | Rehabilitation Practitioner | 55 Greene Ave, Brooklyn, NY 11238-6406 | 2005-08-29 |
| 1376907048 | Randy Mclaurin | Rehabilitation Practitioner | 681 Clarkson Ave, Brooklyn, NY 11203-2125 | 2016-04-08 |
| 1720386063 | Suny Health Science Center At Brooklyn | Rehabilitation Practitioner | 339 Hicks St, Brooklyn, NY 11201-5509 | 2011-03-10 |
| 1184878274 | Ahava Medical and Rehabilitation Center, LLC | Rehabilitation Practitioner | 2555 Nostrand Ave, Brooklyn, NY 11210-4730 | 2008-11-17 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.