Daniel Eldon Frisch, P.T.A.
Individual provider Active NPI Skilled Nursing Facility · Nedrow, NY
NPI 1003036989 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003036989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1833 (SC)
- Practice address
- 4506 S Onondaga Rd
Nedrow, NY 13120 - Phone
- (864) 238-5490
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1833 | SC | MD | Skilled Nursing Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1833 | SC | Yes |
Addresses
Primary practice location
4506 S Onondaga Rd
Nedrow, NY 13120
Mailing address
4506 S Onondaga Rd
Nedrow, NY 13120-9765
Phone (864) 238-5490
Other providers in Nedrow, NY
- Kerry Allocco McChesney
- Kaitlyn Eileen Bates
- Robert Maurice Bennett
- Alese Nicole Burnett
- Nicole Cathcart
- Nakisha Graves
- Eva Dautenhahn Gregory
- Marie L. Hayes
- Roberta May Johnson
- Carol Anne Kozik
All providers in Nedrow, NY · Skilled Nursing Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.