Provider Demographics
NPI:1457514804
Name:CHRISTOPHER, FRIMA (PHD)
Entity type:Individual
Prefix:
First Name:FRIMA
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 E 36TH ST
Mailing Address - Street 2:SUITE 4F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3447
Mailing Address - Country:US
Mailing Address - Phone:212-678-0468
Mailing Address - Fax:212-865-4118
Practice Address - Street 1:109 E 36TH ST
Practice Address - Street 2:SUITE 4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3447
Practice Address - Country:US
Practice Address - Phone:212-678-0468
Practice Address - Fax:212-865-4118
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009111-1103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV50751Medicare PIN