Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1737721 | NY |
NPI | 1063656510 |
---|---|
Provider Name | Sharon Schuster Friedman |
First Address | Lawrence, NY 11559-1722 |
Second Address | Far Rockaway, NY 11691-4433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2009 |
Last Update Date | 28/04/2009 |