National Provider Identifier
Fraidle Shagalov
Fraidle Shagalov is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 835-4011.
Profile Overview
- NPI
- 1174119184
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- December 14, 2020
- Last Updated
- November 11, 2021
Practice Location
- 3350 Main St
- Buffalo, NY 14214-1316
Phone: (716) 835-4011
Mailing Address
- 3350 Main St
- Williamsville, NY 14214
Specialties
- Social Worker (104100000X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1174119184
- Entity Type
- Individual
- Last Name
- Shagalov
- First Name
- Fraidle
- Mailing Street Address
- 3350 Main St
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14214
- Mailing Country
- US
- Mailing Phone
- (716) 835-4011
- Mailing Fax
- (716) 835-0253
- Practice Street Address
- 3350 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-1316
- Practice Country
- US
- Practice Phone
- (716) 835-4011
- Practice Fax
- (716) 835-0253
- Enumeration Date
- December 14, 2020
- Last Updated
- November 11, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Mental Health Counselor (101YM0800X)