Provider Demographics
NPI:1386796092
Name:FRIEDMAN, HOWARD S (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:S
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 84TH ST
Mailing Address - Street 2:24A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6268
Mailing Address - Country:US
Mailing Address - Phone:212-288-3704
Mailing Address - Fax:212-288-3704
Practice Address - Street 1:650 1ST AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3240
Practice Address - Country:US
Practice Address - Phone:212-889-9393
Practice Address - Fax:212-889-9511
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY101952207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00175640Medicaid
C11559Medicare UPIN
NY00175640Medicaid