Provider Demographics
NPI:1679546980
Name:FRIEDMAN-KIEN, ALVIN E (MD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:E
Last Name:FRIEDMAN-KIEN
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 1:530 FIRST AVE
Mailing Address - Street 2:STE 7C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-263-7380
Mailing Address - Fax:212-263-7847
Practice Address - Street 1:530 FIRST AVE
Practice Address - Street 2:STE 7C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-263-7380
Practice Address - Fax:212-263-7847
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY093071207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B14052Medicare UPIN
NY377591Medicare ID - Type Unspecified