Provider Demographics
NPI:1427185586
Name:FRIEDER, KAREN SHANA (PHD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SHANA
Last Name:FRIEDER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 LEWIS PKWY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2525
Mailing Address - Country:US
Mailing Address - Phone:646-202-0590
Mailing Address - Fax:
Practice Address - Street 1:101 MACDOUGAL ST APT 2C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-1238
Practice Address - Country:US
Practice Address - Phone:646-202-0590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY68 016228103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical