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NPI Code Detail

MEDICARE: MRS. SVETLANA FRIEDMAN D.P.T.

MEDICARE: MRS. SVETLANA FRIEDMAN D.P.T.
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
1208100000XPhysical Medicine & Rehabilitation Physician030485-1NY

General Provider Information

NPI Number : 1588815393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SVETLANA FRIEDMAN D.P.T.
Provider Business Mailing Address
First Line : 2915 AVENUE S
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-2544
Country : US
Telephone Number : 718-554-3680
Fax Number : 718-874-2625
Provider Business Practice Location Address
First Line : 2915 AVENUE S
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-2544
Country : US
Telephone Number : 718-554-3680
Fax Number : 718-874-2625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2008
Last Update Date : 10/10/2008

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