Provider Demographics
NPI:1215663182
Name:FRIEDMAN, KADE (MSED)
Entity type:Individual
Prefix:
First Name:KADE
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4415
Mailing Address - Country:US
Mailing Address - Phone:917-886-9482
Mailing Address - Fax:
Practice Address - Street 1:253 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-4415
Practice Address - Country:US
Practice Address - Phone:917-886-9482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-25
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist