Provider Demographics
NPI:1689491920
Name:GANZVI, FRAYDA (MS ED)
Entity type:Individual
Prefix:
First Name:FRAYDA
Middle Name:
Last Name:GANZVI
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:FRAIDY
Other - Middle Name:
Other - Last Name:SCHREIBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS ED
Mailing Address - Street 1:6 SHOSHANNA DR BSMT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3587
Mailing Address - Country:US
Mailing Address - Phone:732-810-2447
Mailing Address - Fax:
Practice Address - Street 1:290 ALBERT AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5403
Practice Address - Country:US
Practice Address - Phone:732-810-2447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist