Friedman, Gavin David
Friedman, Gavin David is an sole proprietor health care provider with primary practice located at 15 West 70Th Street , New York NY 10023-4507. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Friedman, Gavin David can be contacted via phone (917) 607-1255.Contact Information
Primary practice address
15 West 70Th Street
New York NY 10023-4507
Phone: (917) 607-1255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 250523 | New York |
| Allopathic & Osteopathic Physicians / Geriatric Psychiatry | 2084P0805X | 250523 | New York |
Profile Details
| NPI number | 1306997093 |
|---|---|
| LBN Legal business name | Friedman, Gavin David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Feb 15th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306997093 | NPPES |
| New York | Other | A300034341 | MEDICARE PTAN |
| New York | MEDICAID | 03019129 | MEDICARE PTAN |
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