Individual
DR. GAVIN DAVID FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 WEST 70TH STREET, NEW YORK, NY 10023-4507
(917) 607-1255
Mailing address
410 CENTRAL PARK W, 17F, NEW YORK, NY 10025-4819
(917) 607-1255
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
250523
NY
2084P0805X
Geriatric Psychiatry Physician
250523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03019129
—
NY
01
—
A300034341
MEDICARE PTAN
NY
Enumeration date
01/16/2007
Last updated
02/15/2015
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