Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DDS028697 | NY |
NPI | 1003988601 |
---|---|
Provider Name | Howard L Friedman |
First Address | Pouchkeepsie, NY 12603-4308 |
Second Address | Pouchkeepsie, NY 12603-4308 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |