Provider Demographics
NPI:1194947127
Name:PROSCIA, FRANK PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PAUL
Last Name:PROSCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:21 VANDERBILT AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1516
Mailing Address - Country:US
Mailing Address - Phone:516-488-5174
Mailing Address - Fax:888-980-6354
Practice Address - Street 1:21 VANDERBILT AVE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1516
Practice Address - Country:US
Practice Address - Phone:516-488-5174
Practice Address - Fax:888-980-6354
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY195640-12084P0800X
NJ25MA059840002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry