Provider Demographics
NPI:1598886640
Name:FRIEDMAN, ARIC (LMT)
Entity Type:Individual
Prefix:
First Name:ARIC
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140274
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-0274
Mailing Address - Country:US
Mailing Address - Phone:646-251-7239
Mailing Address - Fax:718-835-7881
Practice Address - Street 1:6 TENNIS PL
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5164
Practice Address - Country:US
Practice Address - Phone:718-793-6072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010573-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist