Most Relevant Information
Provider Data
| NPI Number: | 1003036989 |
| Provider Name: | DANIEL ELDON FRISCH P.T.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 314000000X |
| Specialty: | Skilled Nursing Facility |
| License Number: | 1833 |
Most Important Dates
| Enumeration Date: | 04/26/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4506 S ONONDAGA RD
NEDROW
NY
13120
Practice Location Phone/Fax
| Phone: | 8642385490 |
| Fax: |
Provider Mailing Location
4506 S ONONDAGA RD
NEDROW
NY
131209765
Provider Mailing Phone/Fax
| Phone: | 8642385490 |
| Fax: |