# M. FREEMAN MEDICAL PRACTICE, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MELISS M. FREEMAN, MD
- **Other names:** Meliss M. Freeman, MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073067393
- **Legal business name:** MELISS M. FREEMAN, MD
- **Authorized official:** MELISSA M FREEMAN MD (AUTHORIZE OFFICIAL)
- **Authorized official phone:** (917) 864-0708

## Contact information

- **Practice address:** 407 W 147TH ST, NEW YORK, NY 10031-4808
- **Practice address phone:** (212) 281-5613
- **Practice address fax:** (212) 862-4923
- **Mailing address:** 407 W 147TH ST, NEW YORK, NY 10031-4808
- **Mailing address phone:** (212) 281-5613
- **Mailing address fax:** (212) 862-4923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 080452 | NY | Yes |
| 261QP2300X | Primary Care Clinic/Center | 080452 | NY | — |

## Other

- **Enumeration date:** 08/04/2016
- **Last updated:** 08/04/2016