Provider Demographics
NPI:1154775112
Name:FRANK, BARBARA
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:FRANK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4306 GOOSE ST
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14561-9518
Mailing Address - Country:US
Mailing Address - Phone:585-526-7174
Mailing Address - Fax:
Practice Address - Street 1:4306 GOOSE ST
Practice Address - Street 2:
Practice Address - City:STANLEY
Practice Address - State:NY
Practice Address - Zip Code:14561-9518
Practice Address - Country:US
Practice Address - Phone:585-526-7174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No174400000XOther Service ProvidersSpecialist