Provider Demographics
NPI:1972048197
Name:MARIA Y FRIEDMAN LCSW PC
Entity type:Organization
Organization Name:MARIA Y FRIEDMAN LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-431-9010
Mailing Address - Street 1:600 W 111TH ST
Mailing Address - Street 2:SUITE 7B2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1813
Mailing Address - Country:US
Mailing Address - Phone:646-431-9010
Mailing Address - Fax:
Practice Address - Street 1:600 W 111TH ST
Practice Address - Street 2:SUITE 7B2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-1813
Practice Address - Country:US
Practice Address - Phone:646-431-9010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-24
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0481321041C0700X
NYRO48132-1251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty