Provider Demographics
NPI:1154387793
Name:FRANKEL, DAVID HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HENRY
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:263 7TH AVENUE
Mailing Address - Street 2:SUITE 5F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:718-369-3559
Mailing Address - Fax:718-369-3579
Practice Address - Street 1:263 7TH AVENUE
Practice Address - Street 2:SUITE 5F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-369-3559
Practice Address - Fax:718-369-3579
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-22
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY201719207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02011067Medicaid
C33573Medicare UPIN
NY02011067Medicaid