MEDICARE: EDWARD FRYMAN DPM PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N2848	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255612495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWARD FRYMAN DPM PLLC

Provider Business Mailing Address
First Line	:	3650 MERRICK RD
Second Line	:
City	:	SEAFORD
State	:	NY
Zip	:	11783-2811
Country	:	US
Telephone Number	:	516-221-5982
Fax Number	:	516-221-0729

Provider Business Practice Location Address
First Line	:	3650 MERRICK RD
Second Line	:
City	:	SEAFORD
State	:	NY
Zip	:	11783-2811
Country	:	US
Telephone Number	:	516-221-5982
Fax Number	:	516-221-0729

Authorized Official
Title or Position	:	PLLC
Name	:	EDWARD FRYMAN
Credential	:	DPM
Telephone Number	:	516-221-5982

Provider Enumeration Date	:	09/01/2011
Last Update Date	:	09/01/2011

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