Provider Demographics
NPI:1215947908
Name:FRANKEL, MARIE A (MD)
Entity type:Individual
Prefix:DR
First Name:MARIE
Middle Name:A
Last Name:FRANKEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 IDLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-3955
Mailing Address - Country:US
Mailing Address - Phone:585-461-5807
Mailing Address - Fax:585-461-5808
Practice Address - Street 1:285 IDLEWOOD RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-3955
Practice Address - Country:US
Practice Address - Phone:585-461-5807
Practice Address - Fax:585-461-5808
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2013-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133028208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400009171Medicare PIN
D76886Medicare UPIN