MEDICARE: SARAH 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	207V00000X	Obstetrics & Gynecology Physician	D0068618	MD
2	207V00000X	Obstetrics & Gynecology Physician	MD446304	PA
3	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	291344	NY

General Provider Information

NPI Number	:	1811126246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH FRIEDMAN M.D.

Provider Business Mailing Address
First Line	:	440 SEAVIEW AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-3401
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	900 SOUTH AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-3418
Country	:	US
Telephone Number	:	718-226-6550
Fax Number	:

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

Provider Enumeration Date	:	07/07/2009
Last Update Date	:	03/17/2018

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