# LISA NAN FREEDMAN MD. PC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942499694
- **Authorized official:** SIEW CHEAN LIM (OFFICER MANAGER)
- **Authorized official phone:** (315) 471-6442

## Contact information

- **Practice address:** 5800 HERITAGE LANDING DR, SUITE B, EAST SYRACUSE, NY 13057-9378
- **Practice address phone:** (315) 471-6442
- **Practice address fax:** (315) 471-3074
- **Mailing address:** 5800 HERITAGE LANDING DR, SUITE B, EAST SYRACUSE, NY 13057-9378
- **Mailing address phone:** (315) 471-6442
- **Mailing address fax:** (315) 471-3074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 1854361 | NY | Yes |

## Other

- **Enumeration date:** 10/18/2007
- **Last updated:** 11/02/2007