Provider Demographics
NPI:1386197366
Name:SHIFREEN, FRANKLIN (SPECIAL EDUCATOR)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:
Last Name:SHIFREEN
Suffix:
Gender:M
Credentials:SPECIAL EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 ELIZABETH ST
Mailing Address - Street 2:APT. 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-2833
Mailing Address - Country:US
Mailing Address - Phone:917-587-4875
Mailing Address - Fax:
Practice Address - Street 1:290 ELIZABETH ST
Practice Address - Street 2:APT. 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-2833
Practice Address - Country:US
Practice Address - Phone:917-587-4875
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9042061174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist