Healthcare Provider Details

I. General information

NPI: 1518275494
Provider Name (Legal Business Name): MELISSA R FRISCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2010
Last Update Date: 02/24/2023
Certification Date: 02/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 RESEARCH WAY
EAST SETAUKET NY
11733-3453
US

IV. Provider business mailing address

264 CANAL ST STE 6E
NEW YORK NY
10013-3596
US

V. Phone/Fax

Practice location:
  • Phone: 631-331-6400
  • Fax:
Mailing address:
  • Phone: 212-925-8069
  • Fax: 347-602-9058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: