Provider Demographics
NPI:1801468855
Name:FREEBURG, RACHEL SIGRID
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:SIGRID
Last Name:FREEBURG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1496 COUNTY HIGHWAY 12
Mailing Address - Street 2:
Mailing Address - City:EAST MEREDITH
Mailing Address - State:NY
Mailing Address - Zip Code:13757-1001
Mailing Address - Country:US
Mailing Address - Phone:612-718-9114
Mailing Address - Fax:
Practice Address - Street 1:33 W 60TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-7905
Practice Address - Country:US
Practice Address - Phone:212-333-3444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-10
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program