Individual
JONATHAN FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 SAGE ST, FAR ROCKAWAY, NY 11691-4820
(718) 757-9915
Mailing address
1145 SAGE ST, FAR ROCKAWAY, NY 11691-4820
(718) 757-9915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057281
NY
Other
Enumeration date
04/09/2013
Last updated
07/30/2014
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