Provider Demographics
NPI:1679519342
Name:FRIEDMAN, JASON BRIAN (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:BRIAN
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 350
Mailing Address - Street 2:HUDSON VALLEY EMERGENCY MEDICINE PLLC
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12602
Mailing Address - Country:US
Mailing Address - Phone:610-668-6471
Mailing Address - Fax:610-617-6280
Practice Address - Street 1:45 READE PLACE
Practice Address - Street 2:VASSAR BROTHERS MEDICAL CENTER
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601
Practice Address - Country:US
Practice Address - Phone:845-431-5624
Practice Address - Fax:610-617-6280
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2024-08-20
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Provider Licenses
StateLicense IDTaxonomies
NY231306207P00000X, 207PS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02610951Medicaid
NY02610951Medicaid
I19602Medicare UPIN