1215005871 NPI number — MRS. FREDDA HIRSCH SCHNEIDT LCSW

Table of content: MRS. FREDDA HIRSCH SCHNEIDT LCSW (NPI 1215005871)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215005871 NPI number — MRS. FREDDA HIRSCH SCHNEIDT LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHNEIDT
Provider First Name:
FREDDA
Provider Middle Name:
HIRSCH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215005871
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10311 68TH DR
Provider Second Line Business Mailing Address:
APARTMENT 4E
Provider Business Mailing Address City Name:
FOREST HILLS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11375-3159
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-275-3951
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10923 71ST RD
Provider Second Line Business Practice Location Address:
SUITE 2J
Provider Business Practice Location Address City Name:
FOREST HILLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11375-4849
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-947-7111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  R032335-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01804948 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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