Provider Demographics
NPI:1730298811
Name:FRIEDMAN, STEVEN I (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:I
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 1:265 SUNRISE HWY SUITE 1-260
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4912
Mailing Address - Country:US
Mailing Address - Phone:516-764-6206
Mailing Address - Fax:516-764-9422
Practice Address - Street 1:265 SUNRISE HWY SUITE 1-260
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4912
Practice Address - Country:US
Practice Address - Phone:516-764-6206
Practice Address - Fax:516-764-9422
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133141-1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
4225361OtherAETNA
576OtherVYTRA
NY00612042Medicaid
537595OtherUS HEALTHCARE
AS1353OtherOXFORD
133141OtherHIP
541939OtherUNITED HEALTH CARE
0051450-99OtherGHI
50A721OtherBLUE CROSS/BLUE SHIELD
133141OtherHEALTH CARE PARTNERS
537595OtherUS HEALTHCARE
NYC10582Medicare UPIN