Provider Demographics
NPI:1235846890
Name:FARYS, ELZBIETA AGATA (MS)
Entity Type:Individual
Prefix:
First Name:ELZBIETA
Middle Name:AGATA
Last Name:FARYS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 EAST 87TH STREET
Mailing Address - Street 2:APT. 3D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128
Mailing Address - Country:US
Mailing Address - Phone:646-290-1251
Mailing Address - Fax:
Practice Address - Street 1:110 E 23RD ST
Practice Address - Street 2:#900
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:646-469-5000
Practice Address - Fax:844-906-2434
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2024-02-02
Deactivation Date:2023-10-30
Deactivation Code:
Reactivation Date:2024-02-02
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program