Provider Demographics
NPI:1932111309
Name:ALLAN B FRIEDLAND MDPC
Entity Type:Organization
Organization Name:ALLAN B FRIEDLAND MDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:FRIEDLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-968-3339
Mailing Address - Street 1:6 XAVIER DR
Mailing Address - Street 2:STE 201
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704
Mailing Address - Country:US
Mailing Address - Phone:914-968-3339
Mailing Address - Fax:914-968-5406
Practice Address - Street 1:6 XAVIER DR
Practice Address - Street 2:STE 201
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704
Practice Address - Country:US
Practice Address - Phone:914-968-3339
Practice Address - Fax:914-968-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
127117207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00236975Medicaid
B12798Medicare UPIN
NY31567Medicare ID - Type Unspecified