Freedus, Michael

Freedus, Michael is an sole proprietor health care provider with primary practice located at 53 Chestnut Street , Oneonta NY 13820. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Freedus, Michael can be contacted via phone (607) 432-3564.

Contact Information

Primary practice address
53 Chestnut Street Oneonta NY 13820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 028889 New York

Profile Details

NPI number 1396831871
LBN Legal business name Freedus, Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jul 9th, 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 1396831871 NPPES
New York MEDICAID 00534354

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