Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | D26394 | NY |
NPI | 1336292218 |
---|---|
Provider Name | Dr. David A Friedman |
First Address | Lynbrook, NY 11563-1613 |
Second Address | Lynbrook, NY 11563-1613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 08/07/2007 |