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
Phone: (718) 653-4859
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477594794 | NPPES |
| New York | MEDICAID | 02793319 |
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