Dr. Michael Freedus
Oral and Maxillofacial Pathology
53 Chestnut Street
Oneonta
, New York 13820
Dr. Michael Freedus
Oral and Maxillofacial Pathology
53 Chestnut Street
Oneonta
, New York 13820
(518) 864-5032
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Michael Freedus
- 2535 Lake Road
- Delanson, NY
- Zip : 12053
- Phone : (518) 864-5032
Second Address
- Dr. Michael Freedus
- 53 Chestnut Street
- Oneonta, NY
- Zip : 13820
- Phone : (607) 432-3564
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 028889 | NY |
National Provider Identifier
| NPI | 1396831871 |
|---|---|
| Provider Name | Dr. Michael Freedus |
| First Address | Delanson, NY 12053 |
| Second Address | Oneonta, NY 13820 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00534354 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.