MEDICARE: DR. ROBERT FRIDMAN DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	N006066	NY

General Provider Information

NPI Number	:	1811938707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT FRIDMAN DPM

Provider Business Mailing Address
First Line	:	3616 HENRY HUDSON PKWY
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-1505
Country	:	US
Telephone Number	:	718-548-5757
Fax Number	:	718-549-9622

Provider Business Practice Location Address
First Line	:	3616 HENRY HUDSON PKWY
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-1505
Country	:	US
Telephone Number	:	718-548-5757
Fax Number	:	718-549-9622

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	10/27/2010

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Directions to “ DR. ROBERT FRIDMAN DPM” Practice Location

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