NPI Code Details Logo

NPI 1700162211

NPI 1700162211 : YEHUDIS R FROMOWITZ LCSW : POMONA, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1700162211
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    YEHUDIS R FROMOWITZ LCSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/28/2011
-----------------------------------------------------
    Last Update Date     |    07/14/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    978 ROUTE 45 
-----------------------------------------------------
    City                 |    POMONA
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10970-3521
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    346-922-3582
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    978 ROUTE 45 STE 202 
-----------------------------------------------------
    City                 |    POMONA
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    10970-3565
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    347-922-3582
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    078418
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    083832
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.