Freedman, Laurel A

Freedman, Laurel A is an individual health care provider with primary practice located at 699A Old Country Rd , Dix Hills NY 11746-4613. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Freedman, Laurel A can be contacted via phone (631) 271-3520.

Contact Information

Primary practice address
699A Old Country Rd Dix Hills NY 11746-4613
Fax: (631) 271-3706
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV004400-1 New York

Profile Details

NPI number 1184934275
LBN Legal business name Freedman, Laurel A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2010
Last updated Aug 1st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184934275 NPPES
New York MEDICAID 03367737

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