Provider Demographics
NPI:1861576399
Name:FRIEDMAN, VLADIMIR (DC)
Entity type:Individual
Prefix:DR
First Name:VLADIMIR
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 MADISON AVE 8TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:646-546-5550
Mailing Address - Fax:888-579-7613
Practice Address - Street 1:485 MADISON AVE 8TH FLOOR
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:646-546-5550
Practice Address - Fax:888-579-7613
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010341111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU91909Medicare UPIN
NYX5J971Medicare ID - Type Unspecified