Provider Demographics
NPI:1790711224
Name:DAWN FRIEDLAND-PEREZ, LCSW, P.C.
Entity Type:Organization
Organization Name:DAWN FRIEDLAND-PEREZ, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDLAND-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-367-7077
Mailing Address - Street 1:12 WOODSTORK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-3400
Mailing Address - Country:US
Mailing Address - Phone:631-736-7707
Mailing Address - Fax:
Practice Address - Street 1:8 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-3337
Practice Address - Country:US
Practice Address - Phone:631-736-7707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02532887Medicaid
NYN3W401Medicare PIN