Healthcare Provider Details

I. General information

NPI: 1912964651
Provider Name (Legal Business Name): ZACHARY FREEDMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 ALEXANDER ST
ROCHESTER NY
14607-4002
US

IV. Provider business mailing address

224 ALEXANDER ST
ROCHESTER NY
14607-4002
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-8400
  • Fax: 585-922-8405
Mailing address:
  • Phone: 585-922-8400
  • Fax: 585-922-8405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number142900
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: