Individual
DR. BRYAN MICHAEL FREILICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
111 E 210TH ST, KLAU 2, BRONX, NY 10467-2401
(718) 653-4859
Mailing address
51 SYCAMORE LN, LEVITTOWN, NY 11756-3037
(718) 825-5911
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
016759
NY
103TC0700X
Clinical Psychologist
016759-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02793319
—
NY
Enumeration date
06/09/2006
Last updated
12/13/2013
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