Freedman, Richard Stuart

Freedman, Richard Stuart is an individual health care provider with primary practice located at 1251 Deer Park Avenue , North Babylon NY 11703. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Freedman, Richard Stuart can be contacted via phone (631) 242-7711.

Contact Information

Primary practice address
1251 Deer Park Avenue North Babylon NY 11703
Fax: (631) 242-7231
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 028035 New York

Profile Details

NPI number 1609983808
LBN Legal business name Freedman, Richard Stuart
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1609983808 NPPES
New York MEDICAID 02266571

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