Healthcare Provider Details

I. General information

NPI: 1699103325
Provider Name (Legal Business Name): FAIGY FRIEDMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2013
Last Update Date: 10/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 SCHEVCHENKO ST
SPRING VALLEY NY
10977-3849
US

IV. Provider business mailing address

9 SCHEVCHENKO ST
SPRING VALLEY NY
10977-3849
US

V. Phone/Fax

Practice location:
  • Phone: 845-659-0039
  • Fax:
Mailing address:
  • Phone: 845-659-0039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number004875-1
License Number StateNY

VII. Legacy identifiers

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: