Provider Demographics
NPI:1912964651
Name:FREEDMAN, ZACHARY (MD)
Entity Type:Individual
Prefix:DR
First Name:ZACHARY
Middle Name:
Last Name:FREEDMAN
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 1:224 ALEXANDER ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-4002
Mailing Address - Country:US
Mailing Address - Phone:585-922-8400
Mailing Address - Fax:585-922-8405
Practice Address - Street 1:224 ALEXANDER ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-4002
Practice Address - Country:US
Practice Address - Phone:585-922-8400
Practice Address - Fax:585-922-8405
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142900207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYMDF945OtherPREFERRED CARE
NYP010142900OtherBLUE SHIELD
NYP00026206OtherRAILROAD MEDICARE
NYP770142900OtherBLUE CHOICE - INFECTIOUS
NYB76681Medicare UPIN
NYMDF945OtherPREFERRED CARE