Provider Demographics
NPI:1306805676
Name:WATKINS, FRANK BERCHELL (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:BERCHELL
Last Name:WATKINS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:175 MEMORIAL HWY
Mailing Address - Street 2:2-6
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5635
Mailing Address - Country:US
Mailing Address - Phone:914-712-9800
Mailing Address - Fax:914-358-5707
Practice Address - Street 1:175 MEMORIAL HWY
Practice Address - Street 2:2-6
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5635
Practice Address - Country:US
Practice Address - Phone:914-712-9800
Practice Address - Fax:914-358-5707
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2009-04-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1316611207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY79G621Medicare PIN
B92816Medicare UPIN
NY79G621Medicare Oscar/Certification