Individual
MS. SUSAN S. FRIESS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
120 W 106TH ST, NEW YORK, NY 10025-3712
(212) 870-5747
Mailing address
2500 JOHNSON AVE, RIVERDALE, NY 10463-4925
(718) 884-7252
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000064
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000064
NYS LICENSE #
NY
Enumeration date
06/11/2005
Last updated
07/09/2007
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