MEDICARE: RACHEL FRIEDMAN

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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1235942350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL FRIEDMAN

Provider Business Mailing Address
First Line	:	5614 17TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1834
Country	:	US
Telephone Number	:	347-721-1867
Fax Number	:

Provider Business Practice Location Address
First Line	:	5614 17TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-1834
Country	:	US
Telephone Number	:	347-721-1867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	01/31/2025

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Directions to “ RACHEL FRIEDMAN ” Practice Location

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