Provider Demographics
NPI:1215197108
Name:FREITAS, ALESSANDRINA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALESSANDRINA
Middle Name:MARIE
Last Name:FREITAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:H120 EMORY HOSPITAL
Mailing Address - Street 2:1364 CLIFTON ROAD
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:504-914-7394
Mailing Address - Fax:
Practice Address - Street 1:12 GREENRIDGE AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1238
Practice Address - Country:US
Practice Address - Phone:914-683-1400
Practice Address - Fax:914-683-0144
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY295504208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty