Healthcare Provider Details

I. General information

NPI: 1629223169
Provider Name (Legal Business Name): FRANK BUTLER DACM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 5TH AVE SUITE 10B
NEW YORK NY
10011
US

IV. Provider business mailing address

126 5TH AVE SUITE 10B
NEW YORK NY
10011
US

V. Phone/Fax

Practice location:
  • Phone: 212-945-7300
  • Fax: 646-844-7288
Mailing address:
  • Phone: 212-945-7300
  • Fax: 646-844-7288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number00704
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: