Ms Paula Jean Fries, LCAT is a
Art Therapist based in Ronkonkoma, New York. Ms Paula Jean Fries is licensed to practice in New York (license number 000694) and her current practice location is
939 Johnson Ave, Ronkonkoma, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 471-7242.
NPI number for Ms Paula Jean Fries is 1699709790 and her current mailing address is 166 Hampton Vista Dr, Manorville, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699709790.
Healthcare Provider's Profile
| Full Name | Ms Paula Jean Fries |
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| Gender | Female |
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| Speciality | Art Therapist |
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| Location | 939 Johnson Ave, Ronkonkoma, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699709790
- Provider Enumeration Date: 07/11/2006
- Last Update Date: 04/25/2022
Medical Identifiers
Medical identifiers for Ms Paula Jean Fries such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699709790 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 000694 (New York) | Secondary |
| 221700000X | Art Therapist | 000694 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Paula Jean Fries is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Paula Jean Fries, LCAT
166 Hampton Vista Dr,
Manorville, NY 11949-2861
Ph: (631) 874-8618 | Ms Paula Jean Fries, LCAT
939 Johnson Ave,
Ronkonkoma, NY 11779-6066
Ph: (631) 471-7242 |
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