Individual
JOHN FRIZALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
259 1ST ST, MINEOLA, NY 11501-3957
(516) 663-8312
Mailing address
3612 IVY DR, BETHPAGE, NY 11714-3316
(516) 313-8218
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
309749
NY
Other
Enumeration date
07/30/2020
Last updated
08/11/2022
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