Provider Demographics
NPI:1831356260
Name:VERED M FRUMER
Entity type:Organization
Organization Name:VERED M FRUMER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. FRUMER
Authorized Official - Prefix:DR
Authorized Official - First Name:VERED
Authorized Official - Middle Name:
Authorized Official - Last Name:FRUMER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:917-602-5127
Mailing Address - Street 1:37 OLD QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-5122
Mailing Address - Country:US
Mailing Address - Phone:917-602-5127
Mailing Address - Fax:
Practice Address - Street 1:220 W 93RD ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7411
Practice Address - Country:US
Practice Address - Phone:917-602-5127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014591103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty