Provider Demographics
NPI:1982679338
Name:JEAN-LOUIS, FRITZ (MD)
Entity Type:Individual
Prefix:
First Name:FRITZ
Middle Name:
Last Name:JEAN-LOUIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10 SUGAR MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-3207
Mailing Address - Country:US
Mailing Address - Phone:516-747-3578
Mailing Address - Fax:516-747-3578
Practice Address - Street 1:BROOKDALE HOSPITAL ROCKAWAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212
Practice Address - Country:US
Practice Address - Phone:718-240-6075
Practice Address - Fax:718-740-5701
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2097482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry