MEDICARE: DR. FRANK JOHN CONTACESSA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	237983	NY

General Provider Information

NPI Number	:	1588654172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK JOHN CONTACESSA M.D.

Provider Business Mailing Address
First Line	:	16 ORCHARD DR
Second Line	:
City	:	ARMONK
State	:	NY
Zip	:	10504-1437
Country	:	US
Telephone Number	:	914-273-3404
Fax Number	:	914-273-9647

Provider Business Practice Location Address
First Line	:	16 ORCHARD DR
Second Line	:
City	:	ARMONK
State	:	NY
Zip	:	10504-1437
Country	:	US
Telephone Number	:	914-273-3404
Fax Number	:	914-273-9647

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	09/28/2011

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