Friedman, Mark J.

Friedman, Mark J. is an individual health care provider with primary practice located at 12506 101St Ave , South Richmond Hill NY 11419-1412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Friedman, Mark J. can be contacted via phone (718) 849-2900.

Contact Information

Primary practice address
12506 101St Ave South Richmond Hill NY 11419-1412
Fax: (718) 943-2631
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 171614 New York

Profile Details

NPI number 1265488597
LBN Legal business name Friedman, Mark J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Sep 12th, 2019 - about 5 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 1265488597 NPPES
New York MEDICAID 01839541

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