Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 2357751 | NY |
NPI | 1043390917 |
---|---|
Provider Name | Christopher D. Frendo |
First Address | Commack, NY 11725-3131 |
Second Address | Commack, NY 11725-3131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 25/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1110111 | VYTRA (01) | NY |
117709 | (02) | NY |
235775-4W | NO FAULT (01) | NY |
235775-4W | WORKERS COMP (01) | NY |
2443569 | UNITED HEALTHCARE (01) | NY |
7780589 | AETNA (01) | NY |
P4749122 | OXFORD (01) | NY |