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NPI Code Detail

MEDICARE: FRED FRIEDMAN DDS/ ORTHODONTIST

MEDICARE:   FRED  FRIEDMAN  DDS/ ORTHODONTIST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry12713CT
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry38222NY

General Provider Information

NPI Number : 1144296849
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRED FRIEDMAN DDS/ ORTHODONTIST
Provider Business Mailing Address
First Line : 23 GIDEON REYNOLDS RD
Second Line :
City : CROSS RIVER
State : NY
Zip : 10518-1119
Country : US
Telephone Number : 914-977-3076
Fax Number :
Provider Business Practice Location Address
First Line : 873 ROUTE 35
Second Line :
City : CROSS RIVER
State : NY
Zip : 10518-1111
Country : US
Telephone Number : 914-763-5737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 02/07/2025

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Directions to “ FRED FRIEDMAN DDS/ ORTHODONTIST” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.