Provider Demographics
NPI:1184834079
Name:FRISHMAN, EILEEN VIRGINIA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:VIRGINIA
Last Name:FRISHMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 FRIENDS LN
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6556
Mailing Address - Country:US
Mailing Address - Phone:516-333-3277
Mailing Address - Fax:516-333-3277
Practice Address - Street 1:201 FRIENDS LN
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-6556
Practice Address - Country:US
Practice Address - Phone:516-333-3277
Practice Address - Fax:516-333-3277
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR048001-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical