Provider Demographics
NPI:1508128141
Name:POSADAS, FREDDY N (MS ED)
Entity Type:Individual
Prefix:
First Name:FREDDY
Middle Name:N
Last Name:POSADAS
Suffix:
Gender:M
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 MELYN PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303-2612
Mailing Address - Country:US
Mailing Address - Phone:917-603-9344
Mailing Address - Fax:
Practice Address - Street 1:522 MELYN PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10303-2612
Practice Address - Country:US
Practice Address - Phone:917-603-9344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY428636101103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool