Provider Demographics
NPI:1427034453
Name:FRIEDMAN, RICHARD (MSW, PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1123 PARK AVE
Mailing Address - Street 2:SUITE 1-D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1241
Mailing Address - Country:US
Mailing Address - Phone:212-289-3592
Mailing Address - Fax:212-289-7626
Practice Address - Street 1:1123 PARK AVE
Practice Address - Street 2:SUITE 1-D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1241
Practice Address - Country:US
Practice Address - Phone:212-289-3592
Practice Address - Fax:212-289-7626
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-21
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR022094-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN13711Medicare ID - Type Unspecified