Individual
DR. JORDAN IRA FREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
199 W NECK RD, HUNTINGTON, NY 11743-2457
(631) 673-1212
Mailing address
199 W NECK RD, HUNTINGTON, NY 11743-2457
(631) 673-1212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39335
NY
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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