Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 170493 | NY |
NPI | 1215921903 |
---|---|
Provider Name | Dr. Eliezer Friedman |
First Address | Brooklyn, NY 11201-5425 |
Second Address | Brooklyn, NY 11201-5425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 08/07/2007 |