Individual provider Active NPI

Harriet Friedman-Wilson, MS

  • Audiologist
  • Staten Island, NY
National Provider Identifier
1093986044
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
563 Issued in NY
Practice address
1887 Richmond Ave
Suite V
Staten Island, NY 10314-3923
Phone
(718) 370-0072
Fax
(718) 370-6733
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 563 NY Primary

Addresses

Primary practice location

1887 Richmond Ave
Suite V
Staten Island, NY 10314-3923

Mailing address

1887 Richmond Ave
Suite V
Staten Island, NY 10314-3923
Phone (718) 370-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
000563NYMDMental Health Counselor
563NYMDAudiologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1093986044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 RICHMOND AVE",
            "address_2": "SUITE V",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143923",
            "telephone_number": "718-370-0072",
            "fax_number": "718-370-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 RICHMOND AVE",
            "address_2": "SUITE V",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143923",
            "telephone_number": "718-370-0072",
            "fax_number": "718-370-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN-WILSON",
        "first_name": "HARRIET",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.