Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 240505 | NY |
Y | 207PP0204X | Pediatric Emergency Physician | 240505 | NY |
N | 208000000X | Pediatrician | 240505 | NY |
NPI | 1376649707 |
---|---|
Provider Name | Heather Naomi Friedman-Cohen |
First Address | Baltimore, MD 21297-7215 |
Second Address | Washington, DC 20010-2978 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 12/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02785197 | (05) | NY |
279691 | (02) | NY |