MEDICARE: BRUCE FRIEDLANDER DPM PC

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	213ES0131X	Foot Surgery Podiatrist	3238	NY

General Provider Information

NPI Number	:	1760721401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRUCE FRIEDLANDER DPM PC

Provider Business Mailing Address
First Line	:	567 9TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-4205
Country	:	US
Telephone Number	:	718-840-0220
Fax Number	:	718-965-2371

Provider Business Practice Location Address
First Line	:	567 9TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-4205
Country	:	US
Telephone Number	:	718-840-0220
Fax Number	:	718-965-2371

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. BRUCE W FRIEDLANDER
Credential	:	DPM
Telephone Number	:	718-840-0220

Provider Enumeration Date	:	01/31/2013
Last Update Date	:	01/31/2013

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