Healthcare Provider Details

I. General information

NPI: 1942118609
Provider Name (Legal Business Name): EMILY MADELYN FRIEDMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 MADISON AVE RM 801
NEW YORK NY
10016-0718
US

IV. Provider business mailing address

200 E 33RD ST
NEW YORK NY
10016-4874
US

V. Phone/Fax

Practice location:
  • Phone: 917-510-4317
  • Fax:
Mailing address:
  • Phone: 917-510-4317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number127698
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: