Provider Demographics
NPI:1114757432
Name:LIFE CYCLE PSYCHIATRY PLLC
Entity type:Organization
Organization Name:LIFE CYCLE PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-342-7778
Mailing Address - Street 1:109 WHITSON ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6853
Mailing Address - Country:US
Mailing Address - Phone:646-342-7778
Mailing Address - Fax:718-504-8159
Practice Address - Street 1:165 N VILLAGE AVE STE 102
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3701
Practice Address - Country:US
Practice Address - Phone:646-760-6269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty