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NPI Code Detail

MEDICARE: MARIA MCPHERSON MD JONATHAN FREILICH MD DAVID FREILICH MD PLLC

MEDICARE: MARIA MCPHERSON MD JONATHAN FREILICH MD DAVID FREILICH MD PLLC
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
1207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1649743170
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIA MCPHERSON MD JONATHAN FREILICH MD DAVID FREILICH MD PLLC
Provider Business Mailing Address
First Line : 820 UNION ST
Second Line :
City : HUDSON
State : NY
Zip : 12534-3004
Country : US
Telephone Number : 518-828-3391
Fax Number : 518-828-6734
Provider Business Practice Location Address
First Line : 820 UNION ST
Second Line :
City : HUDSON
State : NY
Zip : 12534-3004
Country : US
Telephone Number : 518-828-3391
Fax Number : 518-828-6734
Authorized Official
Title or Position : OWNER
Name : DR. MARIA MCPHERSON
Credential : MD
Telephone Number : 518-828-3391
Provider Enumeration Date : 01/08/2019
Last Update Date : 01/08/2019

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