Healthcare Provider Details

I. General information

NPI: 1356497598
Provider Name (Legal Business Name): KARIN FRIEDERWITZER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 10/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 FORT WASHINGTON AVE
NEW YORK NY
10032-4655
US

IV. Provider business mailing address

12 CROSS RD
ARDSLEY NY
10502-2002
US

V. Phone/Fax

Practice location:
  • Phone: 212-342-0207
  • Fax: 212-342-0200
Mailing address:
  • Phone: 914-479-1044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number213317
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: