Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 104975 | MO |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 144674 | NY |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 15793 | AL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 17079 | OK |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 18862 | WV |
N | 2084N0400X | Neurologist | 104975 | MO |
Y | 2084N0400X | Neurologist | 144674 | NY |
N | 2084N0400X | Neurologist | 15793 | AL |
N | 2084N0400X | Neurologist | 17079 | OK |
N | 2084N0400X | Neurologist | 18862 | WV |
NPI | 1033170931 |
---|---|
Provider Name | Gary Seth Friedman |
First Address | Brooklyn, NY 11212-3139 |
Second Address | Brooklyn, NY 11212-1121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2006 |
Last Update Date | 19/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000077372 | GHI (01) | |
0551089 | CIGNA (01) | |
5850533 | AETNA OUT OF NETWORK (01) | |
E42852 | (02) | |
GF52693861 | APP ONE (01) |