| Fryman Therapies Lcsw Pllc | |
|
10 E Merrick Rd Ste 304 Valley Stream NY 11580-5800 | |
| (516) 652-8705 | |
| Not Available |
| Full Name | Fryman Therapies Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 10 E Merrick Rd Ste 304, Valley Stream, New York |
| Authorized Official Name and Position | Rachl Fryman (OWNER) |
| Authorized Official Contact | 3579247644 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fryman Therapies Lcsw Pllc 10 E Merrick Rd Ste 304 Valley Stream NY 11580-5800 Ph: (516) 652-8705 | Fryman Therapies Lcsw Pllc 10 E Merrick Rd Ste 304 Valley Stream NY 11580-5800 Ph: (516) 652-8705 |
| NPI Number | 1518747724 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Medicare PECOS PAC ID | 9436502648 |
|---|---|
| Medicare Enrollment ID | O20240124001394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518747724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Rachel Fryman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457657900 PECOS PAC ID: 1850744061 Enrollment ID: I20240124001867 |
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