Provider Demographics
NPI:1285790980
Name:KAHN-FREEDMAN, EMILY M (LMFT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:M
Last Name:KAHN-FREEDMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 TALBOT ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-3516
Mailing Address - Country:US
Mailing Address - Phone:718-598-3454
Mailing Address - Fax:505-930-5398
Practice Address - Street 1:8300 TALBOT ST APT 2B
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-3516
Practice Address - Country:US
Practice Address - Phone:718-598-3454
Practice Address - Fax:505-930-5398
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000013106H00000X
NY002114-01106H00000X
NMCMF0183851106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM29829054Medicaid