Provider Demographics
NPI:1083763619
Name:LEDERER-FREEDLAND, ADRIENNE ESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:ESTER
Last Name:LEDERER-FREEDLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CAMPDEN RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3301
Mailing Address - Country:US
Mailing Address - Phone:914-472-5983
Mailing Address - Fax:212-452-3349
Practice Address - Street 1:303 E 83RD ST
Practice Address - Street 2:SUITE 23D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4318
Practice Address - Country:US
Practice Address - Phone:212-452-3310
Practice Address - Fax:212-452-3349
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1957802084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH24273Medicare UPIN