Provider Demographics
NPI:1043481997
Name:MILES H. FRIEDLANDER, APMC
Entity type:Organization
Organization Name:MILES H. FRIEDLANDER, APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILES
Authorized Official - Middle Name:H
Authorized Official - Last Name:FRIEDLANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-455-9825
Mailing Address - Street 1:4324 VETERANS MEMORIAL BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-5445
Mailing Address - Country:US
Mailing Address - Phone:504-455-9825
Mailing Address - Fax:504-883-7669
Practice Address - Street 1:4324 VETERANS MEMORIAL BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-5445
Practice Address - Country:US
Practice Address - Phone:504-455-0068
Practice Address - Fax:504-883-7669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1067016Medicaid
LA1067016Medicaid