Provider Demographics
NPI:1265932131
Name:FRIEDLANDER, JAMES BARRETT (DO, MS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BARRETT
Last Name:FRIEDLANDER
Suffix:
Gender:M
Credentials:DO, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 GREENWICH ST RM 510
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10007-5511
Mailing Address - Country:US
Mailing Address - Phone:212-298-2720
Mailing Address - Fax:
Practice Address - Street 1:255 GREENWICH ST RM 510
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-5511
Practice Address - Country:US
Practice Address - Phone:212-298-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB11160900207Q00000X
NY309514207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11-1665825Medicaid