Provider Demographics
NPI:1235002957
Name:FRIEDMAN, GREGORY NEIL (PHD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:NEIL
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 DEAN ST APT 225
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-2181
Mailing Address - Country:US
Mailing Address - Phone:917-822-4539
Mailing Address - Fax:
Practice Address - Street 1:535 DEAN ST APT 225
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-2181
Practice Address - Country:US
Practice Address - Phone:917-822-4539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027567103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist