Provider Demographics
NPI:1386947976
Name:FRIEDMAN, STEPHEN Z (LADC, LCSAC)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:Z
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:LADC, LCSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 CARLTON RD
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2434
Mailing Address - Country:US
Mailing Address - Phone:845-371-9015
Mailing Address - Fax:
Practice Address - Street 1:72 CARLTON RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-2434
Practice Address - Country:US
Practice Address - Phone:845-371-9015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302615101YA0400X
WI15322-132101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)