Provider Demographics
NPI:1548523830
Name:FRIEDMAN, KRIS M (MASTERS)
Entity type:Individual
Prefix:MRS
First Name:KRIS
Middle Name:M
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 CINDY LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10930-3205
Mailing Address - Country:US
Mailing Address - Phone:845-827-6020
Mailing Address - Fax:
Practice Address - Street 1:47 CINDY LN
Practice Address - Street 2:
Practice Address - City:HIGHLAND MILLS
Practice Address - State:NY
Practice Address - Zip Code:10930-3205
Practice Address - Country:US
Practice Address - Phone:845-827-6026
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist