Provider Demographics
NPI:1821116047
Name:FRIEDMAN-HICKEY, KATHERINE (DDS,PC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:FRIEDMAN-HICKEY
Suffix:
Gender:F
Credentials:DDS,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800A 5TH AVE
Mailing Address - Street 2:403
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-7215
Mailing Address - Country:US
Mailing Address - Phone:212-683-5888
Mailing Address - Fax:212-486-6955
Practice Address - Street 1:800A FIFTH AVE
Practice Address - Street 2:403
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-7215
Practice Address - Country:US
Practice Address - Phone:212-683-5888
Practice Address - Fax:212-486-6955
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047703122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist