Freilich, Bryan Michael

Freilich, Bryan Michael is an sole proprietor health care provider with primary practice located at 111 E 210Th St Klau 2, Bronx NY 10467-2401. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Freilich, Bryan Michael can be contacted via phone (718) 653-4859.

Contact Information

Primary practice address
111 E 210Th St Klau 2 Bronx NY 10467-2401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 016759-1 New York
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 016759 New York

Profile Details

NPI number 1477594794
LBN Legal business name Freilich, Bryan Michael
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Dec 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477594794 NPPES
New York MEDICAID 02793319

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