Friedman, Elliott Theodore

Friedman, Elliott Theodore is an individual health care provider with primary practice located at 111 Maltese Dr , Middletown NY 10940-2115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Friedman, Elliott Theodore can be contacted via phone (845) 342-4774.

Contact Information

Primary practice address
111 Maltese Dr Middletown NY 10940-2115
Phone: (845) 342-4774
Fax: (845) 818-7555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 157319 New York

Profile Details

NPI number 1578519740
LBN Legal business name Friedman, Elliott Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Sep 20th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578519740 NPPES
New York MEDICAID 0829630
New York Other 110043388

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