Organization
MICHAEL S. FREEDUS, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARLENE J. KELLEY (OFFICE MANAGER)
(607) 432-3564
Entity
Organization
Contact information
Practice address
53 CHESTNUT ST, ONEONTA, NY 13820-2405
(607) 432-3564
(607) 432-7613
Mailing address
53 CHESTNUT ST, ONEONTA, NY 13820-2405
(607) 432-3564
(607) 432-7613
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00534354
—
NY
Enumeration date
09/20/2012
Last updated
09/20/2012
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