Provider Demographics
NPI:1568541183
Name:ALAN J FRIEDMAN MD PC
Entity Type:Organization
Organization Name:ALAN J FRIEDMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-683-5180
Mailing Address - Street 1:120 EAST 36TH STREET
Mailing Address - Street 2:APT 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3465
Mailing Address - Country:US
Mailing Address - Phone:212-683-5180
Mailing Address - Fax:212-679-5580
Practice Address - Street 1:120 EAST 36TH STREET
Practice Address - Street 2:APT 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3465
Practice Address - Country:US
Practice Address - Phone:212-683-5180
Practice Address - Fax:212-679-5580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWYWTW1Medicare PIN