Provider Demographics
NPI:1730832270
Name:RAWLINS, FREDLYN R
Entity type:Individual
Prefix:MRS
First Name:FREDLYN
Middle Name:R
Last Name:RAWLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:FREDLYN
Other - Middle Name:R
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:572 E 82ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3119
Mailing Address - Country:US
Mailing Address - Phone:347-420-3196
Mailing Address - Fax:
Practice Address - Street 1:572 E 82ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3119
Practice Address - Country:US
Practice Address - Phone:347-420-3196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker