Healthcare Provider Details

I. General information

NPI: 1891969580
Provider Name (Legal Business Name): ERICA BROOKE FRIEDMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 02/25/2021
Certification Date: 02/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 1ST AVE BELLEVUE HOSPITAL
NEW YORK NY
10016-9196
US

IV. Provider business mailing address

4615 CENTER BLVD APT 710
LONG ISLAND CITY NY
11109-5738
US

V. Phone/Fax

Practice location:
  • Phone: 212-562-3917
  • Fax:
Mailing address:
  • Phone: 301-318-3738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number256144
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: