Basic Information
Provider Information
NPI: 1932146677
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRIEDLANDER
FirstName: PHILIP
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 GUSTAVE L LEVY PL
Address2: BOX 3000
City: NEW YORK
State: NY
PostalCode: 100296574
CountryCode: US
TelephoneNumber: 2129873100
FaxNumber: 2127315210
Practice Location
Address1: 1190 5TH AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100296503
CountryCode: US
TelephoneNumber: 2122416756
FaxNumber: 2124230522
Other Information
ProviderEnumerationDate: 06/01/2006
LastUpdateDate: 03/08/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202X226303MAN Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
207RX0202X219507NYY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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