Provider Demographics
NPI:1194941161
Name:FRANK & KNOBEL PTR
Entity type:Organization
Organization Name:FRANK & KNOBEL PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLAIMS
Authorized Official - Prefix:
Authorized Official - First Name:AHUVA
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-336-1800
Mailing Address - Street 1:1636 EAST 14TH STREET
Mailing Address - Street 2:105
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229
Mailing Address - Country:US
Mailing Address - Phone:718-336-1800
Mailing Address - Fax:718-336-5968
Practice Address - Street 1:1636 EAST 14TH STREET
Practice Address - Street 2:105
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229
Practice Address - Country:US
Practice Address - Phone:718-336-1800
Practice Address - Fax:718-336-5968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2W142Medicare PIN
NY0765350001Medicare NSC