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NPI Code Detail

MEDICARE: DR. LEONARD FREEMAN MD

MEDICARE: DR. LEONARD FREEMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207U00000XNuclear Medicine Physician087763-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346248960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEONARD FREEMAN MD
Provider Business Mailing Address
First Line : 50 SUTTON PL S
Second Line : APT.11A
City : NEW YORK
State : NY
Zip : 10022-4167
Country : US
Telephone Number : 212-688-9395
Fax Number : 212-688-9351
Provider Business Practice Location Address
First Line : 111 E 210TH ST
Second Line :
City : BRONX
State : NY
Zip : 10467-2401
Country : US
Telephone Number : 718-920-6060
Fax Number : 718-920-2629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 07/08/2007

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