Provider Demographics
NPI:1144722174
Name:ANNIE FRISBIE IBCLC, INC
Entity type:Organization
Organization Name:ANNIE FRISBIE IBCLC, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRISBIE
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:917-830-3153
Mailing Address - Street 1:3932 55TH ST
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-3344
Mailing Address - Country:US
Mailing Address - Phone:917-830-3153
Mailing Address - Fax:718-873-2086
Practice Address - Street 1:3932 55TH ST
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3344
Practice Address - Country:US
Practice Address - Phone:917-830-3153
Practice Address - Fax:718-873-2086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health