Provider Demographics
NPI:1801828876
Name:FRIEDLAND, ALLAN BURTON (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:BURTON
Last Name:FRIEDLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ALLAN
Other - Middle Name:BURTON
Other - Last Name:FRIEDLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:24 KENSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2217
Mailing Address - Country:US
Mailing Address - Phone:914-261-9413
Mailing Address - Fax:914-472-2062
Practice Address - Street 1:24 KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2217
Practice Address - Country:US
Practice Address - Phone:914-261-9413
Practice Address - Fax:914-472-2062
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127117207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00236975Medicaid
B12798Medicare UPIN
NY00236975Medicaid