National Provider Identifier
Molly M Freida
Molly M Freida is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner in Newark, NY and a listed phone number of (315) 359-2123.
Profile Overview
- NPI
- 1417787961
- Provider Type
- Individual
- Primary Specialty
- Gerontology Nurse Practitioner
- Enumeration Date
- August 07, 2024
- Last Updated
- November 12, 2024
Practice Location
- 1200 Driving Park Ave
- Newark, NY 14513-1090
Phone: (315) 359-2123
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Gerontology Nurse Practitioner (363LG0600X)
Full Record
- NPI
- 1417787961
- Entity Type
- Individual
- Last Name
- Freida
- First Name
- Molly
- Middle Name
- M
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 1200 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1090
- Practice Country
- US
- Practice Phone
- (315) 359-2123
- Enumeration Date
- August 07, 2024
- Last Updated
- November 12, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gerontology Nurse Practitioner (363LG0600X)