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Individual

DR. E. KENNETH FREIBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
102 NORMAN AVE, BROOKLYN, NY 11222-2934
(718) 383-3068
(516) 239-8123
Mailing address
102 NORMAN AVE, BROOKLYN, NY 11222-2934
(718) 383-3068
(516) 239-8123

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
104283
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00153101
FIDELIS
NY
05
01035065
NY
01
0C138P
HIP
NY
01
503988
AETNA
NY
Enumeration date
06/15/2005
Last updated
11/04/2009
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