Healthcare Provider Details

I. General information

NPI: 1841245206
Provider Name (Legal Business Name): FRANK E. LAFARA PT, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 10/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 E 86TH ST #4
NEW YORK NY
10028-4607
US

IV. Provider business mailing address

PO BOX 464 GRACIE STATION
NEW YORK NY
10028-0018
US

V. Phone/Fax

Practice location:
  • Phone: 917-714-5278
  • Fax: 212-628-7112
Mailing address:
  • Phone: 917-714-5278
  • Fax: 212-628-7112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number015487
License Number StateNY

VIII. Authorized Official

Name: FRANK E LAFARA
Title or Position: PRESIDENT
Credential: PT
Phone: 917-714-5278