Provider Demographics
NPI:1194953240
Name:FLORES, FRANK PEDRO IV (DO)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PEDRO
Last Name:FLORES
Suffix:IV
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1345 RXR PLZ FL 13
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11556-1301
Mailing Address - Country:US
Mailing Address - Phone:516-453-0435
Mailing Address - Fax:
Practice Address - Street 1:2317 CENTER ISLAND ROUTE 22
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083
Practice Address - Country:US
Practice Address - Phone:201-354-1951
Practice Address - Fax:201-354-1952
Is Sole Proprietor?:No
Enumeration Date:2009-06-29
Last Update Date:2025-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY186787-1207P00000X
NJ25MB10496400207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine