Meliss M. Freeman, Md

LBN: M. Freeman Medical Practice, P.C.
Meliss M. Freeman, Md is an health care organization with primary practice located at 407 W 147Th St , New York NY 10031-4808. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Medical Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. M. Freeman Medical Practice, P.C. can be contacted via phone (212) 281-5613, or through Freeman, Melissa M via phone (917) 864-0708.

Contact Information

Primary practice address
407 W 147Th St New York NY 10031-4808
Fax: (212) 862-4923
Website:
Authorized official contact:
Name: Freeman, Melissa M Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 080452 New York
Ambulatory Health Care Facilities / Primary Care 261QP2300X 080452 New York

Profile Details

NPI number 1073067393
LBN Legal business name M. Freeman Medical Practice, P.C.
DBA Doing business as Meliss M. Freeman, Md
Authorized official Freeman, Melissa M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 4th, 2016
Last updated Aug 4th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073067393 NPPES
New York MEDICAID 00591020

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