Provider Demographics
NPI:1376531962
Name:FRISCHAUF, ELISABETH C
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:C
Last Name:FRISCHAUF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:565 W END AVE
Mailing Address - Street 2:20A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2705
Mailing Address - Country:US
Mailing Address - Phone:121-287-4014
Mailing Address - Fax:143-560-4666
Practice Address - Street 1:565 W END AVE
Practice Address - Street 2:20A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-2705
Practice Address - Country:US
Practice Address - Phone:121-287-4014
Practice Address - Fax:143-560-4666
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-08
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist