Most Relevant Information
Provider Data
| NPI Number: | 1003254368 |
| Provider Name: | FRAYDA LEEBA MODES M.S |
| Entity Type: | Individual |
| Taxonomy Code: | 174H00000X |
| Specialty: | Health Educator |
| License Number: | 738987131 |
Most Important Dates
| Enumeration Date: | 06/10/2013 |
| Last Updated: | 06/10/2013 |
Provider Practice Location
1523 43RD ST
BROOKLYN
NY
112191607
Practice Location Phone/Fax
| Phone: | 3474245444 |
| Fax: |
Provider Mailing Location
1523 43RD ST
BROOKLYN
NY
112191607
Provider Mailing Phone/Fax
| Phone: | 3474245444 |
| Fax: |