Friedland-Perez, Dawn
Friedland-Perez, Dawn is an sole proprietor health care provider with primary practice located at 8 Roosevelt Ave , Port Jefferson Station NY 11776-3337. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Friedland-Perez, Dawn can be contacted via phone (631) 736-7707.Contact Information
Primary practice address
8 Roosevelt Ave
Port Jefferson Station NY 11776-3337
Phone: (631) 736-7707
Fax: (631) 736-7767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R054870-1 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1558365023 |
|---|---|
| LBN Legal business name | Friedland-Perez, Dawn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2005 |
| Last updated | Jan 31st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558365023 | NPPES |
| New York | MEDICAID | 02532887 |
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