Provider Demographics
NPI:1336324656
Name:FRIEDENTHAL, STEVEN B (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:B
Last Name:FRIEDENTHAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:126 HIDDEN RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-3092
Mailing Address - Country:US
Mailing Address - Phone:646-867-3233
Mailing Address - Fax:561-948-8343
Practice Address - Street 1:126 HIDDEN RIDGE DR
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-3092
Practice Address - Country:US
Practice Address - Phone:646-867-3233
Practice Address - Fax:561-948-8343
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-05
Last Update Date:2014-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME567092084P0800X
NY1927012084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1336324656Medicare UPIN