Individual
GREGORY FREIDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 7TH AVE, NEW YORK, NY 10011-6601
(917) 656-2290
Mailing address
175 W 90TH ST APT 9F, NEW YORK, NY 10024-1215
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C009255
NY
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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