Individual
MS. DEBORAH JEAN FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4820 WEST TAFT ROAD, STE 108, LIVERPOOL, NY 13088
(315) 413-0004
(315) 413-0828
Mailing address
1001 W FAYETTE STREET, SUITE 400, SYRACUSE, NY 13204
(315) 472-1488
(315) 476-1792
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
334674
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02850080
—
NY
Enumeration date
10/23/2006
Last updated
05/02/2008
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