Provider Demographics
NPI:1720187529
Name:FRISHBERG, ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:
Last Name:FRISHBERG
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 1:18311 HILLSIDE AVE
Mailing Address - Street 2:SUITE DD
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-4840
Mailing Address - Country:US
Mailing Address - Phone:718-297-0909
Mailing Address - Fax:
Practice Address - Street 1:18311 HILLSIDE AVE
Practice Address - Street 2:SUITE DD
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-4840
Practice Address - Country:US
Practice Address - Phone:718-297-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX7328111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY44806Medicare UPIN
NY01071Medicare ID - Type UnspecifiedGHI