MEDICARE: ERICA SUE FRIEDMAN MD

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	207RR0500X	Rheumatology Physician	146308	NY

General Provider Information

NPI Number	:	1487823100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA SUE FRIEDMAN MD

Provider Business Mailing Address
First Line	:	ONE GUSTAVE LEVY PLACE
Second Line	:	BOX 1127
City	:	NY
State	:	NY
Zip	:	10029-6574
Country	:	US
Telephone Number	:	212-241-6500
Fax Number	:	212-996-1091

Provider Business Practice Location Address
First Line	:	1 GUSTAVE L LEVY PL
Second Line	:	BOX 1127
City	:	NEW YORK
State	:	NY
Zip	:	10029-6500
Country	:	US
Telephone Number	:	212-241-6500
Fax Number	:	212-996-1091

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

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	02/27/2008

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