Provider Demographics
NPI:1538291885
Name:FRIEMAN, SHULAMIS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SHULAMIS
Middle Name:
Last Name:FRIEMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4201
Mailing Address - Country:US
Mailing Address - Phone:718-692-2691
Mailing Address - Fax:718-758-0281
Practice Address - Street 1:1280 E 12TH ST APT 3C
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-5231
Practice Address - Country:US
Practice Address - Phone:917-674-5566
Practice Address - Fax:718-758-0281
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015011103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02535660Medicaid
NYP2576197OtherOXFORD