Provider Demographics
NPI:1841022274
Name:FRIEDMAN, MADELEINE (AUD)
Entity type:Individual
Prefix:
First Name:MADELEINE
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4989 GENESEE ST APT 622
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-5573
Mailing Address - Country:US
Mailing Address - Phone:716-393-7275
Mailing Address - Fax:
Practice Address - Street 1:630 ORCHARD PARK RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2671
Practice Address - Country:US
Practice Address - Phone:716-712-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003261231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist