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Individual

DR. ALAN M FREEDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
885 NORTHERN BLVD, GREAT NECK, NY 11021-5303
(516) 487-6700
(516) 487-6877
Mailing address
885 NORTHERN BLVD, GREAT NECK, NY 11021-5303
(516) 487-6700
(516) 487-6877

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
177419
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03211
MEDICARE PIN (GHI)
NY
01
49F181
MEDICARE PIN (EMPIRE GOVERNMENT SERVICES)
NY
Enumeration date
06/16/2005
Last updated
08/29/2012
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