Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 162856 | NY |
N | 208200000X | Surgeon | 162856 | NY |
N | 208600000X | Surgeon | 162856 | NY |
NPI | 1346223567 |
---|---|
Provider Name | Amy L Friedman |
First Address | Syracuse, NY 13210-2306 |
Second Address | Syracuse, NY 13210-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 22/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01519566 | (05) | NY |
F40664 | (02) |