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Contact Information

KENNETH FRETWELL, MD
8900 VAN WYCK EXPRESSWAY
SURGICAL SUITE 1ST FLOOR
JAMAICA, NY11418
 Phone: 718-206-7110
 Fax: 718-206-7111
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KENNETH FRETWELL · (Male)

NPI # 1144281429
Status Active
Credentials MD
Entity Individual
Enumeration date 03/28/2006
Last updated 03/28/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 190443
  • NY Medicaid 01618666
Hospital affiliation(s)
  • JAMAICA HOSPITAL MEDICAL CENTER - (Acute Care)
    89TH AVENUE AND VAN WYCK EXPRESSWAY
    JAMAICA, NY 11418
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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