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Individual

MRS. MARJORIE FRICANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NPP

Contact information

Practice address
2146 JACKSON AVE, SEAFORD, NY 11783-2606
(516) 221-3030
(516) 221-1013
Mailing address
2146 JACKSON AVE, P.O. BOX 1037, SEAFORD, NY 11783-2606
(516) 221-3030
(516) 221-1013

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401240-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00393339
NY
Enumeration date
05/16/2012
Last updated
05/16/2012
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