Healthcare Provider Details

I. General information

NPI: 1598789018
Provider Name (Legal Business Name): WILLIAM FRUMKIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 05/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 E 70TH ST SUITE B2
NEW YORK NY
10021-5154
US

IV. Provider business mailing address

184 E 70TH ST SUITE B2
NEW YORK NY
10021-5154
US

V. Phone/Fax

Practice location:
  • Phone: 212-535-1550
  • Fax: 212-535-5012
Mailing address:
  • Phone: 212-535-1550
  • Fax: 212-535-5012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number1783831
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: