Provider Demographics
NPI:1720125016
Name:FRANK, HOWARD
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:FRANK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 E 14TH ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1100
Mailing Address - Country:US
Mailing Address - Phone:718-336-1800
Mailing Address - Fax:718-336-5968
Practice Address - Street 1:1636 E 14TH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1100
Practice Address - Country:US
Practice Address - Phone:718-336-1800
Practice Address - Fax:718-336-5968
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2011-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004935-1213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01266595Medicaid
NY01266595Medicaid
NYP2W142Medicare ID - Type Unspecified