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General NPI Number Information
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NPI Number | 1881829109
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Entity Type | Organization
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Legal Business Name | JAY LAWRENCE FRIEDMAN, M.D., L.L.C.
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Dates
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Enumeration Date | 05/17/2009
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 310 W 72ND ST STE 1F
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City | NEW YORK
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State | NY
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Zip | 10023-2675
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Country | US
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Telephone | 212-877-3999
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Fax | 201-568-8105
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Provider Business Mailing Address
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Address Line | 2 DEAN DR 1ST FLOOR SOUTH WING
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City | TENAFLY
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State | NJ
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Zip | 07670-2765
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Country | US
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Telephone | 201-568-8288
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Fax | 201-568-8105
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAY L FRIEDMAN
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Credential | MD
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Telephone | 201-314-7648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 204385-1
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License Number State | NY
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