Provider Demographics
NPI:1609852326
Name:FRIEND, TODD MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:MICHAEL
Last Name:FRIEND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:210 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2901
Practice Address - Country:US
Practice Address - Phone:914-682-6511
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY195971207Q00000X
CT000475207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY509437OtherPHCS
NY133884168OtherBEECH STREET
NYP612661OtherOXFORD
NY1022682OtherAETNA HMO
NY133884168OtherPOMCO
NY592781/592783OtherBLUE CROSS PPO
NY01781873Medicaid
NY1798736OtherUNITED HEALTH CARE
NY5823412OtherAETNA NON HMO
NY000000045833OtherGHI HMO
NY195971OtherHIP
NY0D1268OtherHEALTH NET
NY133884168OtherMULTIPLAN
NY6101275OtherGHI PPO
NY6953913-008OtherCIGNA (PCP)
NY773388OtherCONNECTICARE
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY000000045833OtherGHI HMO
NY6953913-008OtherCIGNA (PCP)
NY592781Medicare PIN