Provider Demographics
NPI:1487216511
Name:FREEDMAN, ARDEN (DC)
Entity type:Individual
Prefix:
First Name:ARDEN
Middle Name:
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1391 ELLIS HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-9601
Mailing Address - Country:US
Mailing Address - Phone:607-342-5520
Mailing Address - Fax:
Practice Address - Street 1:950 DANBY RD STE 316
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-5731
Practice Address - Country:US
Practice Address - Phone:607-391-0102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor