Individual
DR. BRUCE LEE FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
430 S MARGINAL RD, JERICHO, NY 11753-1914
(516) 937-3409
(516) 932-8743
Mailing address
430 S MARGINAL RD, JERICHO, NY 11753-1914
(516) 937-3409
(516) 932-8743
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X003337
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A400058122
MEDICARE PTAN
NY
Enumeration date
10/04/2006
Last updated
03/07/2016
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