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Individual

MR. JAMES MARC FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
166 MAYFAIR AVE, FLORAL PARK, NY 11001-2350
(516) 488-4017
Mailing address
166 MAYFAIR AVE, FLORAL PARK, NY 11001-2350
(516) 488-4017

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1016
AK
363LP2300X
Primary Care Nurse Practitioner
Primary
F303060
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246075
NY
05
NP0052
AK
Enumeration date
11/08/2006
Last updated
03/16/2010
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