Ms. Malissa Frederique
DDS | Dentist
Brooklyn Plaza Medical Center, Inc., 650 Fulton Street, Brooklyn
New York, 11217
718-596-9800 718-855-5628
Maps & DirectionsMs. Malissa Frederique is a Brooklyn, New York based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Ms. Malissa Frederique is
061360 for General Practice Dentistry in New York. Her current practice location is
Brooklyn Plaza Medical Center, Inc., 650 Fulton Street, Brooklyn. Patients can reach her at
718-596-9800.
Ms. Malissa Frederique is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ms. Malissa Frederique speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Ms. Malissa Frederique |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | Brooklyn Plaza Medical Center, Inc., 650 Fulton Street, Brooklyn,
New York, 11217 |
| Phone: | 718-596-9800 |
| Fax: | 718-855-5628 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1588218077 |
| NPI Enumeration Date: | 01 Aug, 2019 |
| NPI Last Update On: | 12 Mar, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Malissa Frederique are as mentioned below.
| License Number | Specialization | State | Status | |
| 061360 | General Practice Dentistry | New York | Primary | |
| 061360-01 | General Practice Dentistry | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Malissa Frederique such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 07959479 | Medicaid | New York | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 650 Fulton Street,
Brooklyn, New York |
| Zip: | 11217 |
| Phone Number: | 718-596-9800 |
| Fax Number: | 718-855-5628 |
Patients can reach Ms. Malissa Frederique at
Brooklyn Plaza Medical Center, Inc., 650 Fulton Street, Brooklyn, New York or can
call to book an appointment on 718-596-9800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.