Healthcare Provider Details

I. General information

NPI: 1194941161
Provider Name (Legal Business Name): FRANK & KNOBEL PTR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 02/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1636 EAST 14TH STREET 105
BROOKLYN NY
11229
US

IV. Provider business mailing address

1636 EAST 14TH STREET 105
BROOKLYN NY
11229
US

V. Phone/Fax

Practice location:
  • Phone: 718-336-1800
  • Fax: 718-336-5968
Mailing address:
  • Phone: 718-336-1800
  • Fax: 718-336-5968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: AHUVA PERLOWITZ
Title or Position: CLAIMS
Credential:
Phone: 718-336-1800