Individual
KATHARINE MARIE FREEBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A-GNP-C
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(631) 374-2033
Mailing address
3455 SUNNYSIDE RD, CATO, NY 13033-9791
(631) 374-2033
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311158-01
NY
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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