Provider Demographics
NPI:1750066023
Name:EF NP IN PSYCHIATRY PC
Entity type:Organization
Organization Name:EF NP IN PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRISH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:347-497-9916
Mailing Address - Street 1:167 MALONE AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-4409
Mailing Address - Country:US
Mailing Address - Phone:347-497-9916
Mailing Address - Fax:
Practice Address - Street 1:167 MALONE AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-4409
Practice Address - Country:US
Practice Address - Phone:347-497-9916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health