Healthcare Provider Details

I. General information

NPI: 1093292732
Provider Name (Legal Business Name): FRIEDA KATZ MHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1268 E 14TH ST
BROOKLYN NY
11230-5241
US

IV. Provider business mailing address

1268 E 14TH ST
BROOKLYN NY
11230-5241
US

V. Phone/Fax

Practice location:
  • Phone: 718-382-0045
  • Fax: 718-382-0051
Mailing address:
  • Phone: 718-382-0045
  • Fax: 718-382-0051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: