Individual
DR. ILANA SARA FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
56 CAMBRIDGE RD, GREAT NECK, NY 11023-1555
(516) 773-4876
(516) 482-0716
Mailing address
56 CAMBRIDGE RD, GREAT NECK, NY 11023-1555
(516) 773-4876
(516) 482-0716
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5605
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00913222
—
NY
01
—
39433
GHI MEDICARE PIN
—
Enumeration date
07/13/2008
Last updated
12/10/2008
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