Individual
DR. MICHAEL FREEDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
53 CHESTNUT STREET, ONEONTA, NY 13820
(607) 432-3564
Mailing address
2535 LAKE ROAD, DELANSON, NY 12053
(518) 864-5032
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
028889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00534354
—
NY
Enumeration date
10/04/2006
Last updated
07/09/2007
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