Individual
MS. ELLEN FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
810 CLASSON AVE, BROOKLYN, NY 11238-6102
(718) 230-5100
Mailing address
651 VANDERBILT ST APT 7M, BROOKLYN, NY 11218-7202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
025871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366770877
—
NY
Enumeration date
11/20/2009
Last updated
04/18/2018
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