Provider Demographics
NPI:1477609352
Name:FRIEDMAN, ELAINE (MS,DDS)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MS,DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2885 MARION AVE
Mailing Address - Street 2:SPEECH CENTER
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-3012
Mailing Address - Country:US
Mailing Address - Phone:718-584-7679
Mailing Address - Fax:718-584-7954
Practice Address - Street 1:2885 MARION AVE
Practice Address - Street 2:SPEECH CENTER
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-3012
Practice Address - Country:US
Practice Address - Phone:718-584-7679
Practice Address - Fax:718-584-7954
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000680-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist