Individual
DR. MATTHEW JOHN FREEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 SAINT NICHOLAS AVE, 2ND FLOOR, NEW YORK, NY 10032-3822
(212) 851-5494
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
236454
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
236454
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02981533
—
NY
01
—
4X1261
MEDICARE ID
NY
Enumeration date
03/24/2008
Last updated
12/11/2024
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