Provider Demographics
NPI:1245957323
Name:FRIEDLANDER, HOLLY NICOLE (MFP-LP)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:NICOLE
Last Name:FRIEDLANDER
Suffix:
Gender:F
Credentials:MFP-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 BERRY ST APT 6F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11249-1818
Mailing Address - Country:US
Mailing Address - Phone:251-656-4012
Mailing Address - Fax:
Practice Address - Street 1:55 W 39TH ST RM 305
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-3830
Practice Address - Country:US
Practice Address - Phone:251-656-4012
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP118575106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist