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
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2512
- Phone
- (516) 455-1230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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