Healthcare Provider Details

I. General information

NPI: 1427013135
Provider Name (Legal Business Name): LORENZA FREDDO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 09/02/2023
Certification Date: 09/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2371 ARTHUR AVE
BRONX NY
10458-8113
US

IV. Provider business mailing address

2371 ARTHUR AVE
BRONX NY
10458-8113
US

V. Phone/Fax

Practice location:
  • Phone: 347-879-6710
  • Fax: 347-879-6711
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number181040
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number181040
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: