MEDICARE: DR. PETER A FREEDMAN 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	207X00000X	Orthopaedic Surgery Physician	123838 5	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588640411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER A FREEDMAN MD

Provider Business Mailing Address
First Line	:	4401 MIDDLE SETTLEMENT RD
Second Line	:	SUITE 102
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-5331
Country	:	US
Telephone Number	:	315-735-4496
Fax Number	:	315-735-7066

Provider Business Practice Location Address
First Line	:	4401 MIDDLE SETTLEMENT RD
Second Line	:	SUITE 102
City	:	NEW HARTFORD
State	:	NY
Zip	:	13413-5331
Country	:	US
Telephone Number	:	315-735-4496
Fax Number	:	315-735-7066

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

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	03/07/2014

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