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Kelly Frisenda

Specialist in Lake Grove, NY. Individual provider (NPI-1).

NPI number1578069332
StatusActive
Last updated in NPPESApr 2, 2018

Details

NPI
1578069332
Entity type
Individual (NPI-1)
Name
Kelly Frisenda
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 2, 2018
Last updated
Apr 2, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

20 Eliot Dr
Lake Grove, NY 11755-2512

Phone 516-455-1230

Mailing address

20 Eliot Dr
Lake Grove, NY 11755-2512

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Specialist providers in Lake Grove, NY

All 16 Specialist providers in Lake Grove · All 319 providers in Lake Grove

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