Healthcare Provider Details

I. General information

NPI: 1386877553
Provider Name (Legal Business Name): CLIFFORD P FRANK LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 09/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 SCHENECTADY AVE PSYCHIATRY DEPARTMENT
BROOKLYN NY
11203-1891
US

IV. Provider business mailing address

585 SCHENECTADY AVE PSYCHIATRY DEPARTMENT
BROOKLYN NY
11203-1891
US

V. Phone/Fax

Practice location:
  • Phone: 718-604-4795
  • Fax: 718-604-5468
Mailing address:
  • Phone: 718-604-5239
  • Fax: 718-604-5468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number070640
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: