Healthcare Provider Details

I. General information

NPI: 1255193298
Provider Name (Legal Business Name): MOLLY ELIZABETH FARRUGIA LCAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 JAVA ST STE 217
BROOKLYN NY
11222-5598
US

IV. Provider business mailing address

985 BERGEN ST APT 2
BROOKLYN NY
11216-5496
US

V. Phone/Fax

Practice location:
  • Phone: 929-205-4253
  • Fax:
Mailing address:
  • Phone: 443-841-5587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number003184-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: