Provider Demographics
NPI:1871798306
Name:FRIEDMAN MD AND MELLER MD PC
Entity type:Organization
Organization Name:FRIEDMAN MD AND MELLER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANFORD
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-988-3772
Mailing Address - Street 1:35 E 85TH ST OFC 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0962
Mailing Address - Country:US
Mailing Address - Phone:212-988-3772
Mailing Address - Fax:212-861-4672
Practice Address - Street 1:35 E 85TH ST OFC 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0962
Practice Address - Country:US
Practice Address - Phone:212-988-3772
Practice Address - Fax:212-861-4672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY207R00000X
207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB79038OtherDR. MELLER'S UPIN
DE0325OtherRAILROAD MEDICARE
NYC07993Medicare UPIN
NYW21101Medicare PIN