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NPI Code Detail

MEDICARE: DR. LEE I FREUNDLICH O.D.

MEDICARE:  DR. LEE I FREUNDLICH  O.D.
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
1152W00000XOptometristT004122-1NY

General Provider Information

NPI Number : 1659404861
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEE I FREUNDLICH O.D.
Provider Business Mailing Address
First Line : 660 STEWART AVE
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-4708
Country : US
Telephone Number : 516-745-0737
Fax Number : 516-745-1514
Provider Business Practice Location Address
First Line : 660 STEWART AVE
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-4708
Country : US
Telephone Number : 516-745-0737
Fax Number : 516-745-1514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 08/24/2010

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Directions to “ DR. LEE I FREUNDLICH O.D.” Practice Location

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