Provider Demographics
NPI:1003103656
Name:DOUGLAS B. FRIEDRICH, MD, P.C.
Entity Type:Organization
Organization Name:DOUGLAS B. FRIEDRICH, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:P.C. OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:B
Authorized Official - Last Name:FRIEDRICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-265-2020
Mailing Address - Street 1:200 W 57TH ST
Mailing Address - Street 2:15TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3211
Mailing Address - Country:US
Mailing Address - Phone:212-265-2020
Mailing Address - Fax:212-247-8093
Practice Address - Street 1:200 W 57TH ST
Practice Address - Street 2:15TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3211
Practice Address - Country:US
Practice Address - Phone:212-265-2020
Practice Address - Fax:212-247-8093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-05
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty