Healthcare Provider Details

I. General information

NPI: 1083747463
Provider Name (Legal Business Name): SUMMIT HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 05/14/2023
Certification Date: 05/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24818 UNION TPKE
BELLEROSE NY
11426-1837
US

IV. Provider business mailing address

24818 UNION TPKE
BELLEROSE NY
11426-1837
US

V. Phone/Fax

Practice location:
  • Phone: 516-846-4018
  • Fax: 516-727-7676
Mailing address:
  • Phone: 516-328-9797
  • Fax: 516-352-6579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207UN0903X
TaxonomyIn Vivo & In Vitro Nuclear Medicine Physician
License Number
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL FROGEL
Title or Position: PHYSICIAN/EVP
Credential: MD
Phone: 646-549-7334