Healthcare Provider Details

I. General information

NPI: 1861985335
Provider Name (Legal Business Name): ANTONIA FRYDMAN PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 12/07/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 COURT ST STE 2103
BROOKLYN NY
11201-4441
US

IV. Provider business mailing address

32 COURT ST STE 2103
BROOKLYN NY
11201-4441
US

V. Phone/Fax

Practice location:
  • Phone: 516-341-2354
  • Fax:
Mailing address:
  • Phone: 516-341-2354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number025000
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: