MEDICARE: DR. ADRIENNE ESTER LEDERER-FREEDLAND 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
1	2084P0804X	Child & Adolescent Psychiatry Physician	195780	NY

General Provider Information

NPI Number	:	1083763619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADRIENNE ESTER LEDERER-FREEDLAND MD

Provider Business Mailing Address
First Line	:	5 CAMPDEN RD
Second Line	:
City	:	SCARSDALE
State	:	NY
Zip	:	10583-3301
Country	:	US
Telephone Number	:	914-472-5983
Fax Number	:	212-452-3349

Provider Business Practice Location Address
First Line	:	303 E 83RD ST
Second Line	:	SUITE 23D
City	:	NEW YORK
State	:	NY
Zip	:	10028-4318
Country	:	US
Telephone Number	:	212-452-3310
Fax Number	:	212-452-3349

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	07/08/2007

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