| Doctor Name: | MS. DOROTHY PAULETTE FRIED |
| NPI Number: | 1073598959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0300491 |
| Business Practice Address: | 174 Jericho Tpke Floral Park, NY - 110012024 |
| Business Phone Number: | 5167754258 |
| Business Fax Number: | 5166715437 |
| Mailing Address: | 294 Prospect Ave, SEA CLIFF |
| State: | NY |
| Postal Code: | 115791026 |
| Phone Number: | 5166761599 |
| Fax Number: | 5166715437 |
| NPI Enumeration Date: | 12/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0300491 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |