Individual
MR. ELLIOTT THEODORE FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 818-7555
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 818-7555
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
157319
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0829630
—
NY
01
—
110043388
RAILROAD MEDICARE
NY
Enumeration date
05/26/2006
Last updated
09/20/2011
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