| David Freedman Psyd Pc | |
|
200 E 17th St Apt 1j Brooklyn NY 11226-4636 | |
| (917) 741-1479 | |
| Not Available |
| Full Name | David Freedman Psyd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 200 E 17th St Apt 1j, Brooklyn, New York |
| Authorized Official Name and Position | David Craig Freedman (PRESIDENT) |
| Authorized Official Contact | 9177411479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Freedman Psyd Pc 200 E 17th St Apt 1j Brooklyn NY 11226-4636 Ph: (917) 741-1479 | David Freedman Psyd Pc 200 E 17th St Apt 1j Brooklyn NY 11226-4636 Ph: (917) 741-1479 |
| NPI Number | 1134833684 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/10/2023 |
| Certification Date | 01/10/2023 |
| Medicare PECOS PAC ID | 4880065325 |
|---|---|
| Medicare Enrollment ID | O20230120001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134833684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | David Freedman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689398554 PECOS PAC ID: 4880064591 Enrollment ID: I20230308002212 |
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