Individual
MISS CHRISTIAN JOY FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
139 LAKEVIEW AVE, FREEPORT, NY 11520-2515
(516) 972-3148
Mailing address
139 LAKEVIEW AVE, FREEPORT, NY 11520-2515
(516) 972-3148
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
327591
NY
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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