Provider Demographics
NPI:1215374665
Name:FREKING, LINDSEY (PMHNP, RN)
Entity type:Individual
Prefix:MISS
First Name:LINDSEY
Middle Name:
Last Name:FREKING
Suffix:
Gender:F
Credentials:PMHNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 E MADISON ST
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-1605
Mailing Address - Country:US
Mailing Address - Phone:631-338-3346
Mailing Address - Fax:
Practice Address - Street 1:2539 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:CENTEREACH
Practice Address - State:NY
Practice Address - Zip Code:11720-3551
Practice Address - Country:US
Practice Address - Phone:631-737-6434
Practice Address - Fax:631-738-1226
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2024-05-28
Deactivation Date:2022-06-21
Deactivation Code:
Reactivation Date:2022-07-19
Provider Licenses
StateLicense IDTaxonomies
NYF404408363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health