Provider Demographics
NPI:1457736381
Name:FREEMAN, MURIEL FRANCHELL (DPM)
Entity Type:Individual
Prefix:
First Name:MURIEL
Middle Name:FRANCHELL
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 DEKALB AVE
Mailing Address - Street 2:MAYNARD 19E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-5425
Mailing Address - Country:US
Mailing Address - Phone:718-250-6995
Mailing Address - Fax:718-250-6022
Practice Address - Street 1:121 DEKALB AVE
Practice Address - Street 2:MAYNARD 19E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5425
Practice Address - Country:US
Practice Address - Phone:718-250-6995
Practice Address - Fax:718-250-6022
Is Sole Proprietor?:No
Enumeration Date:2015-07-21
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR97381213ES0103X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program