MEDICARE: DR. LYNN CARLA FRIEDMAN DC

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	111N00000X	Chiropractor	X0058181	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N34176	OTHER		MULTIPLAN
2	0071231	OTHER		GHI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	2004030	OTHER		US HEALTH CARE
5	P513612	OTHER	NY	OXFORD
6	C058182	OTHER		WORKERS COMP
7	4564188	OTHER	NY	AETNA

General Provider Information

NPI Number	:	1952478539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LYNN CARLA FRIEDMAN DC

Provider Business Mailing Address
First Line	:	978 ROUTE 45 STE 109A
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-3565
Country	:	US
Telephone Number	:	845-786-2022
Fax Number	:	845-786-2098

Provider Business Practice Location Address
First Line	:	978 ROUTE 45 STE 109A
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-3565
Country	:	US
Telephone Number	:	845-786-2022
Fax Number	:	845-786-2098

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

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	11/23/2021

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Directions to “ DR. LYNN CARLA FRIEDMAN DC” Practice Location

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