Individual
BETHANN FREED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
675 WALTON AVE APT 5B, BRONX, NY 10451-2571
(413) 687-4729
Mailing address
675 WALTON AVE APT 5B, BRONX, NY 10451-2571
(413) 687-4729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
709197
NY
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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