Individual
ALEXIS M. FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
255 EXECUTIVE DR, SUITE LL101, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
108 LAUREL LN, SYOSSET, NY 11791-1904
(516) 367-7236
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0000067
NY
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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