Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | X007620 | NY |
NPI | 1508987728 |
---|---|
Provider Name | Dr. Loretta Taube Friedman |
First Address | New York, NY 10011-8002 |
Second Address | New York, NY 10011-8002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2007 |
Last Update Date | 08/07/2007 |