Provider Demographics
NPI:1871857607
Name:FRISHMAN, YITZCHOK (MS SPCIAL EDUCATION)
Entity type:Individual
Prefix:
First Name:YITZCHOK
Middle Name:
Last Name:FRISHMAN
Suffix:
Gender:M
Credentials:MS SPCIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 FRISCO AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5111
Mailing Address - Country:US
Mailing Address - Phone:917-573-6509
Mailing Address - Fax:
Practice Address - Street 1:1208 FRISCO AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5111
Practice Address - Country:US
Practice Address - Phone:917-573-6509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator