Molly M Freida, | |
1200 Driving Park Ave, Newark, NY 14513-1090 | |
(315) 359-2123 | |
Not Available |
Full Name | Molly M Freida |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 1200 Driving Park Ave, Newark, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417787961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | 433149 (New York) | Primary |
Entity Name | Rochester General Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | Newark Wayne Community Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722 |
Entity Name | Clifton Springs Sanitarium Co |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366505463 PECOS PAC ID: 5092704809 Enrollment ID: O20040525000569 |
Mailing Address | Practice Location Address |
---|---|
Molly M Freida, 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: () - | Molly M Freida, 1200 Driving Park Ave, Newark, NY 14513-1090 Ph: (315) 359-2123 |
Dr. Brandon Patrick Nugent, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2123 | |
Karen S. Roth, ANP-BC, ACHPN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2640 | |
Jennifer Lynn Torres, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2557 Fax: 315-462-2062 | |
Damar Titsy-ann Mcintyre, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Driving Park Ave, Newark, NY 14513 Phone: 315-332-2266 | |
Paula Kay Dorn, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2130 Fax: 315-359-2139 | |
Beverly J Provo, GNPC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1208 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2640 | |
Mr. Craig Alan Weise, MS, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Driving Park Ave, Newark, NY 14513 Phone: 315-359-2133 Fax: 315-359-2139 |