Provider Demographics
NPI:1619974953
Name:FREIMAN, HAL J (MD)
Entity Type:Individual
Prefix:
First Name:HAL
Middle Name:J
Last Name:FREIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 W 12TH ST
Mailing Address - Street 2:APT 1D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8520
Mailing Address - Country:US
Mailing Address - Phone:212-206-0074
Mailing Address - Fax:212-206-0217
Practice Address - Street 1:59 W 12TH ST
Practice Address - Street 2:APT 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8520
Practice Address - Country:US
Practice Address - Phone:212-206-0074
Practice Address - Fax:212-206-0217
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-01
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY139139207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC12346Medicare UPIN
NY92A70100Medicare ID - Type Unspecified