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NPI 1942436613

NPI 1942436613 : STEPHEN M FRIEDMAN MD, MPH : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1942436613
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN M FRIEDMAN MD, MPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/08/2009
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    Last Update Date     |    06/08/2009
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Provider Practice Location Address
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    Address Line         |    233 BROADWAY WTCHR 26TH FLOOR
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10279-0001
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    Country              |    US
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    Telephone            |    212-442-2463
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    Fax                  |    212-788-4127
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Provider Business Mailing Address
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    Address Line         |    233 BROADWAY WTCHR 26TH FLOOR
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10279-0001
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    Country              |    US
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    Telephone            |    212-442-2463
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    Fax                  |    212-788-4127
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2083P0901X
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    Taxonomy Name        |    Public Health & General Preventive Medicine Physician
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    License Number       |    126061
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    License Number State |    NY
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