Provider Demographics
NPI:1679794218
Name:FRIEDMAN, ROBERT Z (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:Z
Last Name:FRIEDMAN
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 1:43 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4368
Mailing Address - Country:US
Mailing Address - Phone:212-675-2847
Mailing Address - Fax:
Practice Address - Street 1:117 E 18TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2113
Practice Address - Country:US
Practice Address - Phone:212-505-2002
Practice Address - Fax:212-471-2002
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144527173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYD72082Medicare UPIN
NY33D001Medicare ID - Type Unspecified