Provider Demographics
NPI:1922979764
Name:FARRAJ, DINA (MSED; MHC-LP)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:FARRAJ
Suffix:
Gender:F
Credentials:MSED; MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 MIDDLE LOOP RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-1922
Mailing Address - Country:US
Mailing Address - Phone:917-702-5224
Mailing Address - Fax:
Practice Address - Street 1:75 MIDDLE LOOP RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-1922
Practice Address - Country:US
Practice Address - Phone:917-702-5224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health