1376725507 NPI number — FRZ MEDICAL BILLING, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376725507 NPI number — FRZ MEDICAL BILLING, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FRZ MEDICAL BILLING, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376725507
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/25/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
211 MAIN ST
Provider Second Line Business Mailing Address:
BOX #281
Provider Business Mailing Address City Name:
NEW ROCHELLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10801-5712
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-816-0921
Provider Business Mailing Address Fax Number:
914-637-4681

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
629 5TH AVE
Provider Second Line Business Practice Location Address:
SUITE #208
Provider Business Practice Location Address City Name:
PELHAM
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10803-1251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-637-4645
Provider Business Practice Location Address Fax Number:
914-637-4681
Provider Enumeration Date:
11/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HENRIQUES
Authorized Official First Name:
CHESTER
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
914-816-0921

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01746634 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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