Provider Demographics
NPI:1891836458
Name:FRUMESS, NAOMI CHARLOTTE (FNP)
Entity type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:CHARLOTTE
Last Name:FRUMESS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 BRIGGS HWY
Mailing Address - Street 2:
Mailing Address - City:ELLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12428-5501
Mailing Address - Country:US
Mailing Address - Phone:845-647-2000
Mailing Address - Fax:
Practice Address - Street 1:13802 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-2642
Practice Address - Country:US
Practice Address - Phone:718-657-1100
Practice Address - Fax:718-657-1870
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF333151363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily