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8300 Talbot St Apt 2b Kew Gardens NY 11415-3516 | |
| (718) 440-7867 | |
| (505) 930-5398 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8300 Talbot St Apt 2b, Kew Gardens, New York |
| Authorized Official Name and Position | Emily M. Kahn-freedman (ADMINISTRATOR) |
| Authorized Official Contact | 7185983454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
8300 Talbot St Apt 2b Kew Gardens NY 11415-3516 Ph: (718) 598-3454 | 8300 Talbot St Apt 2b Kew Gardens NY 11415-3516 Ph: (718) 440-7867 |
| NPI Number | 1295892644 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Medicare PECOS PAC ID | 1557309762 |
|---|---|
| Medicare Enrollment ID | O20240820003654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295892644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Noah David Freedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366417669 PECOS PAC ID: 9436193737 Enrollment ID: I20231222000365 |
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