Provider Demographics
NPI:1982757886
Name:FREIMAN, JENNIE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIE
Middle Name:ANN
Last Name:FREIMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 W END AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6511
Mailing Address - Country:US
Mailing Address - Phone:212-580-0725
Mailing Address - Fax:
Practice Address - Street 1:365 W END AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6511
Practice Address - Country:US
Practice Address - Phone:212-580-0725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142501207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO4650Medicare UPIN