Provider Demographics
NPI:1154372233
Name:LUNATI, FRANK P JR (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:P
Last Name:LUNATI
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:70 N COUNTRY RD
Mailing Address - Street 2:STE 201
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2161
Mailing Address - Country:US
Mailing Address - Phone:631-403-4310
Mailing Address - Fax:631-403-4312
Practice Address - Street 1:70 N COUNTRY RD
Practice Address - Street 2:STE 201
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2161
Practice Address - Country:US
Practice Address - Phone:631-403-4310
Practice Address - Fax:631-403-4312
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2016-02-09
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Provider Licenses
StateLicense IDTaxonomies
NY2376081208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI44680Medicare UPIN
NY502H685891Medicare PIN