Individual
GARY SETH FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE BROOKDALE PLAZA, OBH PHYSICIAN ENTERPRISE, BROOKLYN, NY 11212-1121
(718) 240-5622
(718) 240-5808
Mailing address
1 BROOKDALE PLAZA, PHYSICIAN ENTERPRISE, BROOKLYN, NY 11212-3139
(718) 240-7143
(718) 240-5808
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
104975
MO
208100000X
Physical Medicine & Rehabilitation Physician
144674
NY
208100000X
Physical Medicine & Rehabilitation Physician
15793
AL
208100000X
Physical Medicine & Rehabilitation Physician
17079
OK
208100000X
Physical Medicine & Rehabilitation Physician
18862
WV
2084N0400X
Neurology Physician
104975
MO
2084N0400X
Neurology Physician
Primary
144674
NY
2084N0400X
Neurology Physician
15793
AL
2084N0400X
Neurology Physician
17079
OK
2084N0400X
Neurology Physician
18862
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077372
GHI
—
01
—
0551089
CIGNA
—
01
—
5850533
AETNA OUT OF NETWORK
—
01
—
GF52693861
APP ONE
—
Enumeration date
03/30/2006
Last updated
05/19/2020
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