Provider Demographics
NPI:1730282906
Name:ABDERHALDEN-FRIEND, RENEE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:ELIZABETH
Last Name:ABDERHALDEN-FRIEND
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:571 SAINT JOSEPHS BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:NY
Mailing Address - Zip Code:14901-3230
Mailing Address - Country:US
Mailing Address - Phone:607-271-2050
Mailing Address - Fax:607-271-2099
Practice Address - Street 1:100 JOHN ROEMMELT DR STE 301
Practice Address - Street 2:
Practice Address - City:HORSEHEADS
Practice Address - State:NY
Practice Address - Zip Code:14845-8304
Practice Address - Country:US
Practice Address - Phone:607-739-0352
Practice Address - Fax:607-739-6909
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2020-06-01
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Provider Licenses
StateLicense IDTaxonomies
NY223892207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02504025Medicaid
NYH70130Medicare UPIN
NYJ400115444Medicare PIN