Provider Demographics
NPI:1477285914
Name:FREUD, ABRAHAM MOSHE (MED)
Entity Type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:MOSHE
Last Name:FREUD
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 ARGYLE RD
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-1104
Mailing Address - Country:US
Mailing Address - Phone:917-402-4721
Mailing Address - Fax:
Practice Address - Street 1:333 ARGYLE RD
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1104
Practice Address - Country:US
Practice Address - Phone:917-402-4721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1802283174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator