Provider Demographics
NPI:1548415813
Name:FRIEDMAN, GOLDY V
Entity Type:Individual
Prefix:MRS
First Name:GOLDY
Middle Name:V
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1145 SAGE ST
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4820
Mailing Address - Country:US
Mailing Address - Phone:646-263-8564
Mailing Address - Fax:718-337-3348
Practice Address - Street 1:1145 SAGE ST
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4820
Practice Address - Country:US
Practice Address - Phone:646-263-8564
Practice Address - Fax:718-337-3348
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-29
Last Update Date:2008-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008026-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist