1396785879 NPI number — DR. STANLEY RABAN FRANKEL M.D.

Table of content: DR. STANLEY RABAN FRANKEL M.D. (NPI 1396785879)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396785879 NPI number — DR. STANLEY RABAN FRANKEL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRANKEL
Provider First Name:
STANLEY
Provider Middle Name:
RABAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

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:
1396785879
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/31/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
177 FORT WASHINGTON AVE
Provider Second Line Business Mailing Address:
MILSTEIN HOSPITAL BUILDING, 6N-435
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10032-3733
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-305-0566
Provider Business Mailing Address Fax Number:
212-305-6762

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
161 FORT WASHINGTON AVE
Provider Second Line Business Practice Location Address:
NINTH FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10032-3729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-305-0566
Provider Business Practice Location Address Fax Number:
212-305-6762
Provider Enumeration Date:
06/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RX0202X , with the licence number:  167900 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 707980-01 . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 148101100 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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