Individual
DOREEN FREITAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7948 JERICHO TPKE, WOODBURY, NY 11797
(516) 364-1288
Mailing address
7948 JERICHO TPKE, WOODBURY, NY 11797-1204
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
8706
NY
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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