| Jason Brian Friedman, MD | |
| 
					45 Reade Place, Vassar Brothers Medical Center, Poughkeepsie, NY 12601  | |
| (845) 431-5624 | |
| (610) 617-6280 | 
| Full Name | Jason Brian Friedman | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine - Sports Medicine | 
| Location | 45 Reade Place, Poughkeepsie, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679519342 | NPI | - | NPPES | 
| 02610951 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 231306 (New York) | Secondary | 
| 207PS0010X | Emergency Medicine - Sports Medicine | 231306 (New York) | Primary | 
| Entity Name | Emergency Physician Services Of New York, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20040901000528  | 
| Entity Name | Nuvance Health Medical Practice, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1437358033 PECOS PAC ID: 1658468442 Enrollment ID: O20071025000436  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jason Brian Friedman, MD Po Box 350, Hudson Valley Emergency Medicine Pllc, Poughkeepsie, NY 12602 Ph: (610) 668-6471  | Jason Brian Friedman, MD 45 Reade Place, Vassar Brothers Medical Center, Poughkeepsie, NY 12601 Ph: (845) 431-5624  | 
Dr. Domenico Carmine Mastandrea, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-431-5680  | |
Miss Alexis Cordiano, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Place, Vassar Brothers Medical Center, Poughkeepsie, NY 12601 Phone: 845-431-5624 Fax: 610-617-6280  | |
Dr. Nadia Adside, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-790-2085  | |
Dr. Tatyana Shkolnikov, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Manchester Rd Ste 105, Poughkeepsie, NY 12603 Phone: 845-225-7337 Fax: 845-225-1183  | |
Mr. Mohammad Ahmad Khan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2649 South Road, Suite 104, Poughkeepsie, NY 12601 Phone: 845-790-1317  | |
Dr. Yong Kwok, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 45 Read Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500  | |
Kristin Wolf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1910 South Rd, Poughkeepsie, NY 12601 Phone: 845-454-0120 Fax: 845-686-9016  |