Provider Demographics
NPI:1790017903
Name:FRIEDMAN, DAVID HOWARD (RPH)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HOWARD
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 RED SCHOOLHOUSE RD STE 226
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10977-7055
Mailing Address - Country:US
Mailing Address - Phone:845-381-8600
Mailing Address - Fax:
Practice Address - Street 1:80 RED SCHOOLHOUSE RD STE 226
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-7055
Practice Address - Country:US
Practice Address - Phone:845-381-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048287183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist