Friendly Medical Group PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

248234 Issued in NY

Legal business name

FRIENDLY MEDICAL GROUP PC

Practice address

207 Hallock Road
Stony Brook, NY 11790

Phone

(631) 689-6226

Fax

(631) 675-0736

NPI assigned

Dec 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rosanna Tedesco

Title

Billing Manager

Phone

(631) 689-6226

Specialties & licenses 5

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1801251814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 HALLOCK ROAD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-689-6226",
            "fax_number": "631-675-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HALLOCK ROAD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "11790",
            "telephone_number": "631-689-6226",
            "fax_number": "631-675-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "TEDESCO",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "631-689-6226",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "462504",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "248234",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "154768",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "60275504",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefanie Frank, MS CCC-SLP
• Bina Esther Franklin, M.D.
• Maricel Anne Franzese, FNP
• Sharely Nicole Fred-Torres, MD
• Stephen L Frederico, LCSW-R
• Bettina Fries, MD
• Indira Michelle Fromm, RPA-C
• Harry Fruchtman
• Catherine Claire Frusetta, DDS
• Chuan Fu, M.D.

• Pediatrics Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.