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NPI Code Detail

MEDICARE: DR. INGRID FREIDENBERGS PH.D.

MEDICARE: DR. INGRID FREIDENBERGS PH.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
1103T00000XPsychologist004981NY

General Provider Information

NPI Number : 1750337424
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. INGRID FREIDENBERGS PH.D.
Provider Business Mailing Address
First Line : 155 E 29TH ST
Second Line : 27C
City : NEW YORK
State : NY
Zip : 10016-8173
Country : US
Telephone Number : 212-263-6165
Fax Number :
Provider Business Practice Location Address
First Line : 31 W 10TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-8738
Country : US
Telephone Number : 212-263-6165
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 07/08/2007

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