Provider Demographics
NPI:1609095298
Name:FRIEDMAN, HARVEY M (DDS)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:M
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-1617
Mailing Address - Country:US
Mailing Address - Phone:518-482-8111
Mailing Address - Fax:518-482-2618
Practice Address - Street 1:523 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-1617
Practice Address - Country:US
Practice Address - Phone:518-482-8111
Practice Address - Fax:518-482-2618
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0247571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice