Healthcare Provider Details

I. General information

NPI: 1942286026
Provider Name (Legal Business Name): GENESEE ORTHOPEDICS & HAND SURGERY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 02/11/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 MIDDLE SETTLEMENT RD SUITE 102
NEW HARTFORD NY
13413-5331
US

IV. Provider business mailing address

4401 MIDDLE SETTLEMENT RD SUITE 102
NEW HARTFORD NY
13413-5331
US

V. Phone/Fax

Practice location:
  • Phone: 315-735-4496
  • Fax: 315-735-7066
Mailing address:
  • Phone: 315-735-4496
  • Fax: 315-735-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER A FREEDMAN
Title or Position: SECRETARY
Credential: MD
Phone: 315-735-4496