Individual
ALEXANDRA LICONA-FREUDENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-3970
Mailing address
601 ELMWOOD AVE # 266, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
336032
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2019
Last updated
08/13/2025
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