Healthcare Provider Details
I. General information
NPI: 1154387793
Provider Name (Legal Business Name): DAVID HENRY FRANKEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/22/2006
Last Update Date: 09/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
263 7TH AVENUE SUITE 5F
BROOKLYN NY
11215
US
IV. Provider business mailing address
263 7TH AVENUE SUITE 5F
BROOKLYN NY
11215
US
V. Phone/Fax
- Phone: 718-369-3559
- Fax: 718-369-3579
- Phone: 718-369-3559
- Fax: 718-369-3579
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | 201719 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: