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NPI Code Detail

MEDICARE: D'VORA FREEDMAN

MEDICARE: D'VORA FREEDMAN
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
1225100000XPhysical Therapist038283NY

General Provider Information

NPI Number : 1992102669
Entity Type Code : Individual
Provider Name (Legal Business Name) : D'VORA FREEDMAN
Provider Business Mailing Address
First Line : 3911 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3501
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3911 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-3501
Country : US
Telephone Number : 718-377-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2014
Last Update Date : 11/24/2014

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Directions to “ D'VORA FREEDMAN ” Practice Location

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