MEDICARE: DR. ISAIAH ELIJAH FRIEDMAN M.D.

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	2085R0001X	Radiation Oncology Physician	253834	NY

General Provider Information

NPI Number	:	1407170319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISAIAH ELIJAH FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	47 ESSEX STREET
Second Line	:	GROUND FL.
City	:	NEW YORK
State	:	NY
Zip	:	10002
Country	:	US
Telephone Number	:	347-532-2891
Fax Number	:

Provider Business Practice Location Address
First Line	:	13640 39TH AVE LOWR LEVEL
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5536
Country	:	US
Telephone Number	:	347-532-2888
Fax Number	:	718-321-8620

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

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	04/14/2026

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