Provider Demographics
NPI:1811988264
Name:FRIEDMAN, RACHEL L (MD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 E 30TH ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8366
Mailing Address - Country:US
Mailing Address - Phone:212-614-0039
Mailing Address - Fax:212-253-9631
Practice Address - Street 1:38 E 32ND ST FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-5563
Practice Address - Country:US
Practice Address - Phone:212-725-2660
Practice Address - Fax:212-684-4712
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA224101207V00000X
NY243181207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2103729Medicaid
MA468298OtherTUFTS HEALTH PLAN
MAJ28825OtherBCBS MS
I36258Medicare UPIN
MAJ28825OtherBCBS MS