Aimee Fredette
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Tupper Lake, NY
NPI 1659978583 · NPPES record last updated Oct 5, 2020
Key facts
- NPI
- 1659978583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 046423 (NY)
- Practice address
- 55 Church St
Tupper Lake, NY 12986-2032 - Phone
- (518) 359-2479
- Fax
- (518) 359-8364
- NPI assigned
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046423 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Peaks Radiology PC | Past |
Accepting new patients | |
| Adirondack Medical Center | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 046423 | NY | Yes |
Addresses
Primary practice location
55 Church St
Tupper Lake, NY 12986-2032
Mailing address
2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141
Other practice location 1
55 Church St
Tupper Lake, NY 12986-2032
Phone (518) 359-2479
Other providers in Tupper Lake, NY
- Carol Dimond
- Janelle Edwards
- Mary Lynne Feller
- Franklin Hamilton Chapter Nysarc
- Melinda Sue Frazer
- Barbara F Gachowski
- Gregory P. Gachowski
- Narain Govender
- Ellen Catherine Guiney
- Emily J Hochwald
All providers in Tupper Lake, NY · Physical Medicine & Rehabilitation Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.