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Physician Compare National (NPI:1053389916)

HEALTHCARE PROVIDER: SETH G FRIEDMAN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1053389916
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8325170657
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100721000725
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name FRIEDMAN
Individual professional last name
Provider First Name SETH
Individual professional first name
Provider Middle Name G
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Individual professional's medical school
Graduation Year 1988
Individual professional's medical school graduation year
Primary Specialty ENDOCRINOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name ENDOCRINE ASSOCIATES OF NASSAU ANDQUEENS,P.C
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 3173413614
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 6
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 560 NORTHERN BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 207
Group Practice or individual's line 2 address
City GREAT NECK
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 110215100
Group Practice or individual's zip code (9 digits when available)
Phone Number 5164666165
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 330106
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 NS/LIJ HS-NORTH SHORE UNIVERSITY HOSPITAL AT MANHASSET
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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