Healthcare Provider Details

I. General information

NPI: 1477110625
Provider Name (Legal Business Name): CHAYA FRUCHTHANDLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHAYA HOROWICZ

II. Dates (important events)

Enumeration Date: 05/23/2019
Last Update Date: 05/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6023 FORT HAMILTON PKWY
BROOKLYN NY
11219-4814
US

IV. Provider business mailing address

6023 FORT HAMILTON PKWY
BROOKLYN NY
11219-4814
US

V. Phone/Fax

Practice location:
  • Phone: 718-686-3400
  • Fax: 718-686-4400
Mailing address:
  • Phone: 718-686-3400
  • Fax: 718-686-4400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: