Individual
DR. JORDAN FRIGERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8708 JUSTICE AVE, 1H, ELMHURST, NY 11373-4575
(718) 779-2000
(718) 779-1583
Mailing address
59 SEASONGOOD RD, FOREST HILLS, NY 11375-6032
(718) 779-2000
(718) 779-1583
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
133857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112766693
TAX ID
NY
Enumeration date
07/27/2006
Last updated
11/25/2009
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