Susan Frisenda
Individual provider Active NPI Occupational Therapy Assistant · Red Hook, NY
NPI 1104105253 · NPPES record last updated Aug 8, 2011
Key facts
- NPI
- 1104105253
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 005088-1 (NY)
- Practice address
- 40 Devereux Way
Red Hook, NY 12571-2268 - Phone
- (845) 758-1899
- NPI assigned
- Aug 8, 2011
- Sex
- Female
- 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 |
|---|---|---|---|
| 005088-1 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 005088-1 | NY | Yes |
Addresses
Primary practice location
40 Devereux Way
Red Hook, NY 12571-2268
Mailing address
22 Rock City Rd
Milan, NY 12571-2439
Other providers in Red Hook, NY
- Walter M Flynn
- Monique Folchetti
- Kristina Marie Forrest
- Colleen M. Foster
- Ford Francis Franklin
- Ellen Gaffney
- Renee Gambino-Bonjolo
- Alison Gigl George
- Carol S Guidi
- Alisa Beth Gumaer
All providers in Red Hook, NY · Occupational Therapy Assistant 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 Aug 8, 2011. 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.