Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 095776 | NY |
NPI | 1013915057 |
---|---|
Provider Name | Alan Herbert Friedman |
First Address | New York, NY 10029 |
Second Address | East Meadow, NY 11554-1724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B77955 | (02) | NY |