Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 01052620 | NY |
NPI | 1245206721 |
---|---|
Provider Name | Dr. Emily S Friedan |
First Address | Buffalo, NY 14214-1706 |
Second Address | Buffalo, NY 14214-1706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 01/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01052620 | (05) | NY |