Provider Demographics
NPI:1679661425
Name:FRIEDFELD, GERI T (DDS)
Entity Type:Individual
Prefix:DR
First Name:GERI
Middle Name:T
Last Name:FRIEDFELD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2169 RTE 94
Mailing Address - Street 2:
Mailing Address - City:SALISBURY MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:12577
Mailing Address - Country:US
Mailing Address - Phone:845-496-4710
Mailing Address - Fax:845-496-5359
Practice Address - Street 1:2169 RTE 94
Practice Address - Street 2:
Practice Address - City:SALISBURY MILLS
Practice Address - State:NY
Practice Address - Zip Code:12577
Practice Address - Country:US
Practice Address - Phone:845-496-4710
Practice Address - Fax:845-496-5359
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03860411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice