Individual
MICHAEL FRISICARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1010 EAST AND WEST RD, WEST SENECA, NY 14224-3602
(716) 677-7096
Mailing address
1595 HOMECOURT, ALDEN, NY 14004-1227
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
434584
NY
Other
Enumeration date
12/21/2017
Last updated
12/21/2017
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