Search › New Jersey › 1041C0700X
Valery Fradkov, LCSW
NPI 1841427663 · on the registry since 2009 · sole proprietor
Practice
- Address
- 3100 Broadway
Fair Lawn, NJ 07410 - Phone
- (917) 582-1683
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey