Provider Demographics
NPI:1366496978
Name:FREEDMAN, CORA S (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CORA
Middle Name:S
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 HEATHCOTE ROAD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-7134
Mailing Address - Country:US
Mailing Address - Phone:914-725-3158
Mailing Address - Fax:914-725-1470
Practice Address - Street 1:333 HEATHCOTE ROAD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-7134
Practice Address - Country:US
Practice Address - Phone:914-725-3158
Practice Address - Fax:914-725-1470
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR00857511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
P816517OtherOXFORD HEALTH PLANS
7869059OtherAETNA INSURANCE
199215OtherMANAGED HEALTH NETWORK
NA565OtherMAGELLAN BEHAVIORAL HEALT
135900OtherVALVE OPTIONS
7493941OtherGHI
7869059OtherAETNA INSURANCE