Organization
FREEDOM CARE IPA, OOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WOLF (GENERAL COUNSEL)
(718) 989-9710
Entity
Organization
Contact information
Practice address
1979 MARCUS AVE STE C115, NEW HYDE PARK, NY 11042-1126
(718) 989-9710
Mailing address
1979 MARCUS AVE STE C115, NEW HYDE PARK, NY 11042-1126
(718) 989-9710
Taxonomy
Speciality
Code
Description
License number
State
2083C0008X
Clinical Informatics Physician
Primary
—
—
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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