Healthcare Provider Details

I. General information

NPI: 1215947908
Provider Name (Legal Business Name): MARIE A FRANKEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 07/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 IDLEWOOD RD
ROCHESTER NY
14618-3955
US

IV. Provider business mailing address

285 IDLEWOOD RD
ROCHESTER NY
14618-3955
US

V. Phone/Fax

Practice location:
  • Phone: 585-461-5807
  • Fax: 585-461-5808
Mailing address:
  • Phone: 585-461-5807
  • Fax: 585-461-5808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number133028
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: