Freese, Kenneth
Freese, Kenneth is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke Medical Staff Box # 42, East Meadow NY 11554-1859. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Freese, Kenneth can be contacted via phone (516) 572-6803.Contact Information
Primary practice address
2201 Hempstead Tpke Medical Staff Box # 42
East Meadow NY 11554-1859
Phone: (516) 572-6803
Fax: (516) 572-5019
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 112407 | New York |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 112407 | New York |
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 112407 | New York |
Profile Details
NPI number | 1619945250 |
---|---|
LBN Legal business name | Freese, Kenneth |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 9th, 2006 |
Last updated | Apr 10th, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619945250 | NPPES |
New York | MEDICAID | 00771682 |
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