Provider Demographics
NPI:1144020264
Name:FRIEDMAN, JOSEPH KENT
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:KENT
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 CENTRAL AVE APT 4K
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-4603
Mailing Address - Country:US
Mailing Address - Phone:917-538-8400
Mailing Address - Fax:
Practice Address - Street 1:833 CENTRAL AVE APT 4K
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4603
Practice Address - Country:US
Practice Address - Phone:917-538-8400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYD103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst