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Individual

GARY H. FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 PORT WASHINGTON BLVD., SUITE 105, ROSLYN, NY 11576-1347
(516) 390-9640
(516) 390-9650
Mailing address
POB 1061, PORT WASHINGTON, NY 11050-1061
(516) 629-2467
(516) 629-2452

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
151970
NY
207RI0011X
Interventional Cardiology Physician
151970
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01045409
NY
Enumeration date
11/03/2006
Last updated
10/10/2012
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