Healthcare Provider Details

I. General information

NPI: 1316025000
Provider Name (Legal Business Name): DAVID FRIEDMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 02/25/2021
Certification Date: 02/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8011 18TH AVE
BROOKLYN NY
11214-1705
US

IV. Provider business mailing address

8011 18TH AVE
BROOKLYN NY
11214-1705
US

V. Phone/Fax

Practice location:
  • Phone: 718-259-7717
  • Fax:
Mailing address:
  • Phone: 718-259-7717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number202859
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number202859
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number202859
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: