Individual
MS. ANN MARIE FREED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
(718) 816-6589
(718) 816-1868
Mailing address
460 BRIELLE AVE BLDG H, STATEN ISLAND, NY 10314-6427
(718) 816-6589
(718) 816-1868
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332543
NY
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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