MEDICARE: MS. MICHELE ANN FRIMMER L.P.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	102L00000X	Psychoanalyst	001225	NY

General Provider Information

NPI Number	:	1245061662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELE ANN FRIMMER L.P.

Provider Business Mailing Address
First Line	:	126 MAIN STREET, UNIT 12
Second Line	:
City	:	COLD SPRING HARBOR
State	:	NY
Zip	:	11724
Country	:	US
Telephone Number	:	631-833-2139
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 GARDEN COURT
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743
Country	:	US
Telephone Number	:	631-833-2139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	11/08/2024

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