MEDICARE: MRS. GENEVIEVE FROEHLICH

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	171100000X	Acupuncturist	007841-01	NY

General Provider Information

NPI Number	:	1619816576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GENEVIEVE FROEHLICH

Provider Business Mailing Address
First Line	:	920 LINCOLN AVE UNIT 9
Second Line	:
City	:	HOLBROOK
State	:	NY
Zip	:	11741-2257
Country	:	US
Telephone Number	:	631-571-9653
Fax Number	:

Provider Business Practice Location Address
First Line	:	920 LINCOLN AVE UNIT 9
Second Line	:
City	:	HOLBROOK
State	:	NY
Zip	:	11741-2257
Country	:	US
Telephone Number	:	631-571-9653
Fax Number	:

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

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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