| Jay Lawrence Friedman, M.d., L.l.c. | |
|
310 W 72nd St Ste 1f New York NY 10023-2675 | |
| (212) 877-3999 | |
| (201) 568-8105 |
| Full Name | Jay Lawrence Friedman, M.d., L.l.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 310 W 72nd St Ste 1f, New York, New York |
| Authorized Official Name and Position | Jay L Friedman (OWNER) |
| Authorized Official Contact | 2013147648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Lawrence Friedman, M.d., L.l.c. 2 Dean Dr 1st Floor South Wing Tenafly NJ 07670-2765 Ph: (201) 568-8288 | Jay Lawrence Friedman, M.d., L.l.c. 310 W 72nd St Ste 1f New York NY 10023-2675 Ph: (212) 877-3999 |
| NPI Number | 1881829109 |
|---|---|
| Provider Enumeration Date | 05/17/2009 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Medicare PECOS PAC ID | 3476604844 |
|---|---|
| Medicare Enrollment ID | O20090624000544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881829109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 204385-1 (New York) | Primary |
| Provider Name | Jay Lawrence Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669447587 PECOS PAC ID: 1850388844 Enrollment ID: I20080819000596 |
| Provider Name | Yakov Semenov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750579777 PECOS PAC ID: 3274663133 Enrollment ID: I20100621000052 |
| Provider Name | Salina N Nordstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720256571 PECOS PAC ID: 9830336411 Enrollment ID: I20130520000509 |
| Provider Name | Melissa F Lillien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619203577 PECOS PAC ID: 1254567126 Enrollment ID: I20131125000098 |
| Provider Name | Larissa Yossefi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619314135 PECOS PAC ID: 5991071292 Enrollment ID: I20171031001622 |
| Provider Name | Tessa Claire Hyo Goodman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770999278 PECOS PAC ID: 5193084911 Enrollment ID: I20180123003349 |
| Provider Name | Carolina Jimenez Madiedo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518117100 PECOS PAC ID: 4587818612 Enrollment ID: I20180226001341 |
| Provider Name | Monique L Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508096561 PECOS PAC ID: 0749543767 Enrollment ID: I20180404001162 |
| Provider Name | Dongjin Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811447501 PECOS PAC ID: 3274897244 Enrollment ID: I20180430001357 |
| Provider Name | Daliya A Chandroth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730738428 PECOS PAC ID: 2769714567 Enrollment ID: I20191028003224 |
| Provider Name | Samar A Jasser |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1881750552 PECOS PAC ID: 4789739509 Enrollment ID: I20191203000537 |
| Provider Name | Stephen M Waugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992104459 PECOS PAC ID: 7113224718 Enrollment ID: I20200225002689 |
| Provider Name | Julia Anne Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639703341 PECOS PAC ID: 4587083225 Enrollment ID: I20201028000447 |
| Provider Name | Emily A Reichard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235791989 PECOS PAC ID: 7719307958 Enrollment ID: I20201028002499 |
| Provider Name | Saviour Ayim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962078113 PECOS PAC ID: 1658778675 Enrollment ID: I20210917001403 |
| Provider Name | Erin Katherine Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588321350 PECOS PAC ID: 9335536358 Enrollment ID: I20220421001816 |
| Provider Name | Rebecca Megan Gibbons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104547751 PECOS PAC ID: 3678944386 Enrollment ID: I20230117001322 |
| Provider Name | Kevin Michael Xuereb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821790759 PECOS PAC ID: 4789047390 Enrollment ID: I20230915000520 |
| Provider Name | Amy Romick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447771290 PECOS PAC ID: 4789928581 Enrollment ID: I20231117002078 |
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