Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 002209 | NY |
NPI | 1295884724 |
---|---|
Provider Name | Dr. Ronald Melvin Freeling |
First Address | Rochester, NY 14626-2804 |
Second Address | Rochester, NY 14626-2804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 21/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00414659 | (05) | NY |
T26135 | (02) | NY |