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Dolores Enid Friedel

Individual provider Active NPI Clinical Social Worker · Atlantic Beach, NY

NPI 1235300070 · NPPES record last updated Jul 1, 2009

Key facts

NPI
1235300070
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
PRO12609-1 (NY)
Practice address
70 Ithaca Ave
Atlantic Beach, NY 11509-1321
Phone
(516) 239-4677
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PRO12609-1NYMDClinical Social Worker
012609NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Namdar Optometry PC Past
since May 28, 2023		 Accepting new patients
Namdar Optometry PC Past
since Oct 16, 2023		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PRO12609-1 NY Yes

Addresses

Primary practice location

70 Ithaca Ave
Atlantic Beach, NY 11509-1321

Mailing address

70 Ithaca Ave
Atlantic Beach, NY 11509-1321
Phone (516) 239-3411

Other names

  • Dolores Enid Etrog-Friedel Other name

Other providers in Atlantic Beach, NY

All providers in Atlantic Beach, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.