Individual ProviderFraidy N MaltzPharmacistPharmacy Service ProvidersPractice Address75 Dekalb Ave, Brooklyn, NY 11201-5423(718) 488-3454(516) 837-9537PECOS EnrollmentBased on the most recent information from CMS, provider Fraidy N Maltz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1144355009Provider TypeIndividualFull NameMaltz, Fraidy NTitleDr.CredentialPHARM.D.GenderFemaleSole ProprietorYesEnumeration Date2/22/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address75 Dekalb Ave, Brooklyn, NY 11201-5423Phone(718) 488-3454FaxUnlisted FaxMailing LocationMailing Address914 Eileen Ter, Woodmere, NY 11598-1519Phone(516) 837-9537FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense046152New York