Provider Demographics
NPI:1033434477
Name:FRIDMAN, VIKTORIYA (NP)
Entity Type:Individual
Prefix:MRS
First Name:VIKTORIYA
Middle Name:
Last Name:FRIDMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2727 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7857
Mailing Address - Country:US
Mailing Address - Phone:718-975-7546
Mailing Address - Fax:718-975-7547
Practice Address - Street 1:262 CENTRAL PARK W
Practice Address - Street 2:SUITE 1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3512
Practice Address - Country:US
Practice Address - Phone:212-535-7546
Practice Address - Fax:718-975-7547
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY305111363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health