Basic Information
Provider Information
NPI: 1811126246
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRIEDMAN
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: 440 SEAVIEW AVE
Address2:  
City: STATEN ISLAND
State: NY
PostalCode: 103053401
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 900 SOUTH AVE
Address2:  
City: STATEN ISLAND
State: NY
PostalCode: 103143418
CountryCode: US
TelephoneNumber: 7182266550
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/07/2009
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XD0068618MDN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000XMD446304PAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VF0040X291344NYY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery

No ID Information.


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