MEDICARE: DR. KATYA FRISCHER MD

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	2084F0202X	Forensic Psychiatry Physician	233859	NY
2	390200000X	Student in an Organized Health Care Education/Training Program	233859	NY

General Provider Information

NPI Number	:	1396862124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATYA FRISCHER MD

Provider Business Mailing Address
First Line	:	171 W 57TH ST APT 11A
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-2222
Country	:	US
Telephone Number	:	516-376-6541
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 RIVER'S EDGE ROAD
Second Line	:
City	:	NYC
State	:	NY
Zip	:	10035-1737
Country	:	US
Telephone Number	:	646-766-3756
Fax Number	:

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

Provider Enumeration Date	:	03/25/2007
Last Update Date	:	04/27/2023

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