Individual
MISS CARLY ISABELLE FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 E 95TH ST APT 10D, NEW YORK, NY 10128-4004
(216) 990-9667
Mailing address
225 E 95TH ST APT 10D, NEW YORK, NY 10128-4004
(216) 990-9667
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
030391-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/28/2021
Last updated
02/20/2024
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