Healthcare Provider Details

I. General information

NPI: 1649019803
Provider Name (Legal Business Name): THE FRIENDSHIP REMEDY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2024
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 BIRCH DR
PLAINVIEW NY
11803-2821
US

IV. Provider business mailing address

48 BIRCH DR
PLAINVIEW NY
11803-2821
US

V. Phone/Fax

Practice location:
  • Phone: 516-620-0488
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JILL SCHIEBER
Title or Position: PRESIDENT
Credential: LCSW
Phone: 516-620-0488