| Doctor Name: | MS. NINA IVY FRIEDMAN |
| NPI Number: | 1093969768 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A.CCC/SLP |
| License Number: | REG #5941545 |
| Business Practice Address: | 1806 Bell Blvd Bayside N.y. Bayside, NY - 113601642 |
| Business Phone Number: | 9176018562 |
| Business Fax Number: | 7184237567 |
| Mailing Address: | 1806 Bell Blvd, Bayside, N.y. BAYSIDE |
| State: | NY |
| Postal Code: | 113601642 |
| Phone Number: | 9176018562 |
| Fax Number: | 7184237567 |
| NPI Enumeration Date: | 11/07/2008 |
| NPI Last Update Date: | 11/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | REG #5941545 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |