Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 154458 | NY |
N | 207R00000X | Internist | 154458 | NY |
N | 111NI0900X | Internist | 154458 | NY |
NPI | 1043279698 |
---|---|
Provider Name | Marianne Frieri |
First Address | East Meadow, NY 11554-1859 |
Second Address | East Meadow, NY 11554-1859 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 10/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01466224 | (05) | NY |
B17066 | (02) | NY |