Provider Demographics
NPI:1194249755
Name:FRIEDMAN, ADENA YOCHEVED
Entity type:Individual
Prefix:MRS
First Name:ADENA
Middle Name:YOCHEVED
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 MERRALL DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1518
Mailing Address - Country:US
Mailing Address - Phone:718-337-8099
Mailing Address - Fax:
Practice Address - Street 1:99 MERRALL DRIVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1155
Practice Address - Country:US
Practice Address - Phone:718-337-8099
Practice Address - Fax:718-337-8099
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-26
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.12771235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist