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General NPI Number Information
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NPI Number | 1275089898
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Entity Type | Individual
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Provider Name | MONIKA FREELAND M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 3101 SHIPPERS RD STE 202
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City | VESTAL
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State | NY
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Zip | 13850-2082
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Country | US
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Telephone | 607-754-5342
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Fax |
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Provider Business Mailing Address
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Address Line | 1047 SCHUYLER ST
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City | ENDICOTT
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State | NY
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Zip | 13760-1251
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Country | US
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Telephone | 419-266-5329
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 299688
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License Number State | NY
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