Healthcare Provider Details

I. General information

NPI: 1497924740
Provider Name (Legal Business Name): HOWARD S. FRIEDMAN, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2008
Last Update Date: 03/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 1ST AVE THIRD FLOOR
NEW YORK NY
10016-3240
US

IV. Provider business mailing address

650 1ST AVE THIRD FLOOR
NEW YORK NY
10016-3240
US

V. Phone/Fax

Practice location:
  • Phone: 212-889-9393
  • Fax: 212-889-9511
Mailing address:
  • Phone: 212-889-9393
  • Fax: 212-889-9511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number101952
License Number StateNY

VIII. Authorized Official

Name: HOWARD S FRIEDMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 212-889-9393