Gavin Friedman Md P.c | |
15 W 70th St New York NY 10023-4507 | |
(917) 607-1255 | |
(815) 550-1734 |
Full Name | Gavin Friedman Md P.c |
---|---|
Speciality | Psychiatry & Neurology |
Location | 15 W 70th St, New York, New York |
Authorized Official Name and Position | Gavin Friedman (MD) |
Authorized Official Contact | 9176071255 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gavin Friedman Md P.c 410 Central Park W 17f New York NY 10025-4819 Ph: (917) 607-1255 | Gavin Friedman Md P.c 15 W 70th St New York NY 10023-4507 Ph: (917) 607-1255 |
NPI Number | 1699196055 |
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Provider Enumeration Date | 01/02/2014 |
Last Update Date | 02/15/2015 |
Medicare PECOS PAC ID | 2365674314 |
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Medicare Enrollment ID | O20140407001092 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699196055 | NPI | - | NPPES |
03019129 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Gavin D Friedman |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306997093 PECOS PAC ID: 2860552437 Enrollment ID: I20081201000124 |
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