Provider Demographics
NPI:1225590722
Name:FREESMAN, GABRIELLE (MOTR/L)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:
Last Name:FREESMAN
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 COURT ST STE 314
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4419
Mailing Address - Country:US
Mailing Address - Phone:212-473-0011
Mailing Address - Fax:
Practice Address - Street 1:44 COURT ST STE 314
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4419
Practice Address - Country:US
Practice Address - Phone:560-071-8855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023335225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist