MEDICARE: MR. JOHN SALVATORE FRISCIA P.T.

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	225100000X	Physical Therapist	016223	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000107489	OTHER	NY	GHI HOM PROV NUMBER
2	5C7078	OTHER	NY	ORTHONET HEALTH NET
3	6698683	OTHER	NY	GHI PROV NUMBER
4	FJ6223	OTHER	NY	MULTIPLAN ATLANTIS PROV
5	171523	OTHER	NY	ELDER PLAN PROV NUMBER
6	2017438	OTHER	NY	UNITED HEALTH CARE NUMBER
7	64601	OTHER	NY	ORTHONET CIGNA USFHP
8	016223	OTHER	NY	PT LICENSE NUMBER
9	1000041231	OTHER	NY	AFFINITY PROV NUMBER
10	178015	OTHER	NY	WELLCARE PROV NUMBER

General Provider Information

NPI Number	:	1457419434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN SALVATORE FRISCIA P.T.

Provider Business Mailing Address
First Line	:	1326 E 55TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3326
Country	:	US
Telephone Number	:	718-531-1059
Fax Number	:	718-531-1059

Provider Business Practice Location Address
First Line	:	5607 AVENUE L
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-3317
Country	:	US
Telephone Number	:	718-258-6100
Fax Number	:	718-692-0661

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	07/08/2007

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Directions to “ MR. JOHN SALVATORE FRISCIA P.T.” Practice Location

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