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NPI Code Detail

MEDICARE: DR. EUGENE B FRIEDMAN M.D.

MEDICARE: DR. EUGENE B FRIEDMAN M.D.
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
1208000000XPediatrics Physician104138NY

General Provider Information

NPI Number : 1346240686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EUGENE B FRIEDMAN M.D.
Provider Business Mailing Address
First Line : 68 S SERVICE RD
Second Line : SUITE 350
City : MELVILLE
State : NY
Zip : 11747-2354
Country : US
Telephone Number : 516-945-3000
Fax Number : 516-945-3131
Provider Business Practice Location Address
First Line : 271 JERICHO TPKE
Second Line :
City : FLORAL PARK
State : NY
Zip : 11001-2146
Country : US
Telephone Number : 516-354-7575
Fax Number : 516-354-3977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 11/12/2009

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