Provider Demographics
NPI:1891012282
Name:FUREDI, JOAN ELAINE (MSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:ELAINE
Last Name:FUREDI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 11TH STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-4304
Mailing Address - Country:US
Mailing Address - Phone:718-832-8445
Mailing Address - Fax:
Practice Address - Street 1:522 11TH STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-4304
Practice Address - Country:US
Practice Address - Phone:718-832-8445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR019267-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical