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General NPI Number Information
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NPI Number | 1972048197
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Entity Type | Organization
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Legal Business Name | MARIA Y FRIEDMAN LCSW PC
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Dates
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Enumeration Date | 12/24/2016
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 600 W 111TH ST SUITE 7B2
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City | NEW YORK
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State | NY
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Zip | 10025-1813
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Country | US
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Telephone | 646-431-9010
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Fax |
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Provider Business Mailing Address
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Address Line | 600 W 111TH ST SUITE 7B2
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City | NEW YORK
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State | NY
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Zip | 10025-1813
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Country | US
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Telephone | 646-431-9010
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | MARIA Y FRIEDMAN
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Credential | LCSW
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Telephone | 646-431-9010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | RO48132-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 048132
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License Number State | NY
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