Provider Demographics
NPI:1346800950
Name:FRISINA-DEYO, ARIC JOHNATHON (DC)
Entity Type:Individual
Prefix:
First Name:ARIC
Middle Name:JOHNATHON
Last Name:FRISINA-DEYO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 FRANKLIN STREET
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06901-1014
Mailing Address - Country:US
Mailing Address - Phone:203-969-0802
Mailing Address - Fax:203-316-9024
Practice Address - Street 1:141 FRANKLIN STREET
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06901-1014
Practice Address - Country:US
Practice Address - Phone:203-969-0802
Practice Address - Fax:203-316-9024
Is Sole Proprietor?:No
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2148111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor