Kelly Frisenda

NPI #1578069332 in Lake Grove, New York

Provider Information

NPI Number
1578069332
Entity Type
Individual
Name
Kelly Frisenda
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Apr 2, 2018
Last Updated
Apr 2, 2018

Practice Location

Address
20 ELIOT DR
ZIP Code
11755-2512
Phone
(516) 455-1230

Specialties & Taxonomy Codes

Specialty
Specialist

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