Fradkov, Valery Eugene

Fradkov, Valery Eugene is an sole proprietor health care provider with primary practice located at 3100 Broadway , Fair Lawn NJ 07410-3963. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fradkov, Valery Eugene can be contacted via phone (917) 582-1683.

Contact Information

Primary practice address
3100 Broadway Fair Lawn NJ 07410-3963
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05391100 New Jersey

Profile Details

NPI number 1841427663
LBN Legal business name Fradkov, Valery Eugene
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2009
Last updated Aug 10th, 2009 - about 16 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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