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NPI Code Detail

MEDICARE: DR. FRANK RAYMOND JR. MD

MEDICARE:  DR. FRANK  RAYMOND JR. MD
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
1207R00000XInternal Medicine Physician177956NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972885101
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK RAYMOND JR. MD
Provider Business Mailing Address
First Line : 372 MAIN ST
Second Line : #206
City : PORT WASHINGTON
State : NY
Zip : 11050-3132
Country : US
Telephone Number : 516-322-3819
Fax Number :
Provider Business Practice Location Address
First Line : 372 MAIN ST
Second Line : #206
City : PORT WASHINGTON
State : NY
Zip : 11050-3132
Country : US
Telephone Number : 516-322-3819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2011
Last Update Date : 09/14/2011

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Directions to “ DR. FRANK RAYMOND JR. MD” Practice Location

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