Provider Demographics
NPI:1669735866
Name:FRIEDMAN, MIRIAM (MD)
Entity type:Individual
Prefix:MRS
First Name:MIRIAM
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MIRIAM
Other - Middle Name:
Other - Last Name:LINDNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1748 44TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1050
Mailing Address - Country:US
Mailing Address - Phone:718-633-9266
Mailing Address - Fax:
Practice Address - Street 1:1748 44TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1050
Practice Address - Country:US
Practice Address - Phone:718-633-9266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1856020174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist