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NPI Code Detail

MEDICARE: MS. JANICE FORBES FRIEDMAN LCSW R

MEDICARE: MS. JANICE FORBES FRIEDMAN LCSW R
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerPR0262141NY

General Provider Information

NPI Number : 1184787392
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANICE FORBES FRIEDMAN LCSW R
Provider Business Mailing Address
First Line : 5500 MAIN ST SUITE 207
Second Line : JANICE FRIEDMAN
City : WILLIAMSVILLE
State : NY
Zip : 14221-6737
Country : US
Telephone Number : 716-633-6900
Fax Number : 716-633-6902
Provider Business Practice Location Address
First Line : 5500 MAIN ST SUITE 207
Second Line : JANICE FRIEDMAN
City : WILLIAMSVILLE
State : NY
Zip : 14221-6737
Country : US
Telephone Number : 716-633-6900
Fax Number : 716-633-6902
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 07/08/2007

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