Paul Friedman

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Katonah, NY

NPI 1720488588 · NPPES record last updated Aug 29, 2014

Key facts

NPI
1720488588
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
19 Adams Farm Rd
Katonah, NY 10536-3166
Phone
(914) 830-0869
NPI assigned
Aug 29, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

19 Adams Farm Rd
Katonah, NY 10536-3166

Mailing address

19 Adams Farm Rd
Katonah, NY 10536-3166

Other providers in Katonah, NY

All providers in Katonah, NY · Student in an Organized Health Care Education/Training Program in New York

Sources for this page

Verify at the official NPI Registry.