Healthcare Provider Details

I. General information

NPI: 1376649707
Provider Name (Legal Business Name): HEATHER NAOMI FRIEDMAN-COHEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HEATHER NAOMI FRIEDMAN

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVENUE NW
WASHINGTON DC
20010-2978
US

IV. Provider business mailing address

PO BOX 37215
BALTIMORE MD
21297-7215
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-0780
  • Fax: 212-746-4883
Mailing address:
  • Phone: 212-590-5152
  • Fax: 212-590-5798

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number240505
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number240505
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number240505
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: