Doctor Name: | JACK J FRISHMAN |
NPI Number: | 1336329549 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 075174 |
Business Practice Address: | 40 Jon Barrett Rd Patterson, NY - 125632164 |
Business Phone Number: | 8458789078 |
Business Fax Number: | 8458786139 |
Mailing Address: | 40 Jon Barrett Rd, PATTERSON |
State: | NY |
Postal Code: | 125632164 |
Phone Number: | 8458789078 |
Fax Number: | 8458786139 |
NPI Enumeration Date: | 11/06/2007 |
NPI Last Update Date: | 11/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 075174 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |