Provider Demographics
NPI:1245316413
Name:FRIEDMAN, HOWARD STANLEY (BS)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:STANLEY
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 GAIR STREET
Mailing Address - Street 2:
Mailing Address - City:PIERMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10968-1091
Mailing Address - Country:US
Mailing Address - Phone:845-359-6141
Mailing Address - Fax:
Practice Address - Street 1:108 CHATSWORTH AVE
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2901
Practice Address - Country:US
Practice Address - Phone:914-834-1019
Practice Address - Fax:914-834-0130
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23898183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
3334668OtherNAB3