Individual
MARISSA FREKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1968
(631) 741-8631
Mailing address
14 KATIE CT, LAKE GROVE, NY 11755-2313
(631) 741-8631
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
931408
NY
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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