Provider Demographics
NPI:1457613499
Name:FRANK, ANTONINA BERNARD (MA, MPHIL)
Entity type:Individual
Prefix:MRS
First Name:ANTONINA
Middle Name:BERNARD
Last Name:FRANK
Suffix:
Gender:F
Credentials:MA, MPHIL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 OXFORD CT
Mailing Address - Street 2:APT. 7908
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7933
Mailing Address - Country:US
Mailing Address - Phone:845-504-0109
Mailing Address - Fax:
Practice Address - Street 1:9 OXFORD CT
Practice Address - Street 2:APT. 7908
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-7933
Practice Address - Country:US
Practice Address - Phone:845-504-0109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist