Provider Demographics
NPI:1407170319
Name:FRIEDMAN, ISAIAH ELIJAH (MD)
Entity Type:Individual
Prefix:DR
First Name:ISAIAH
Middle Name:ELIJAH
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 ESSEX STREET
Mailing Address - Street 2:GROUND FL.
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002
Mailing Address - Country:US
Mailing Address - Phone:347-532-2891
Mailing Address - Fax:
Practice Address - Street 1:4022 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5651
Practice Address - Country:US
Practice Address - Phone:347-532-2888
Practice Address - Fax:718-321-8620
Is Sole Proprietor?:No
Enumeration Date:2010-03-22
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2538342085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology