Healthcare Provider Details

I. General information

NPI: 1942128186
Provider Name (Legal Business Name): DINA FREUND LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4102 13TH AVE
BROOKLYN NY
11219-1389
US

IV. Provider business mailing address

486 E 7TH ST
BROOKLYN NY
11218-4802
US

V. Phone/Fax

Practice location:
  • Phone: 718-387-8400
  • Fax:
Mailing address:
  • Phone: 718-387-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number131927
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: