Healthcare Provider Details

I. General information

NPI: 1740108976
Provider Name (Legal Business Name): ANDREW FRISONE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 POST AVE STE 100
WESTBURY NY
11590-2226
US

IV. Provider business mailing address

340 CEDAR ST
SOUTH HEMPSTEAD NY
11550-7704
US

V. Phone/Fax

Practice location:
  • Phone: 516-208-3792
  • Fax:
Mailing address:
  • Phone: 516-429-8806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18-P143751-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: