Healthcare Provider Details

I. General information

NPI: 1619341542
Provider Name (Legal Business Name): STANLEY B FRIEDLAND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2015
Last Update Date: 11/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 MORGAN PL
WHITE PLAINS NY
10605-4930
US

IV. Provider business mailing address

24 MORGAN PL
WHITE PLAINS NY
10605-4930
US

V. Phone/Fax

Practice location:
  • Phone: 914-948-6785
  • Fax: 914-683-0806
Mailing address:
  • Phone: 914-948-6785
  • Fax: 914-683-0806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. STANLEY FRIEDLAND
Title or Position: SOLE PROPRIETOR
Credential: PH.D.
Phone: 914-948-6785