Provider Demographics
NPI:1548541212
Name:FRIEDMAN, AHUVA L (MS)
Entity type:Individual
Prefix:
First Name:AHUVA
Middle Name:L
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:AHUVA
Other - Middle Name:L
Other - Last Name:FIREWORKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS
Mailing Address - Street 1:716 LANETT AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5514
Mailing Address - Country:US
Mailing Address - Phone:718-702-6019
Mailing Address - Fax:
Practice Address - Street 1:716 LANETT AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5514
Practice Address - Country:US
Practice Address - Phone:718-702-6019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist