Healthcare Provider Details

I. General information

NPI: 1801841895
Provider Name (Legal Business Name): MEDICAL RESEARCH ASSOCIATES,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 03/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 GRASSLANDS RD DEPT OF MEDICINE-MUNGER PAVILION
VALHALLA NY
10595-1646
US

IV. Provider business mailing address

95 GRASSLANDS RD DEPT OF MEDICINE-MUNGER PAVILION
VALHALLA NY
10595-1646
US

V. Phone/Fax

Practice location:
  • Phone: 914-594-4388
  • Fax: 914-594-4434
Mailing address:
  • Phone: 914-594-4388
  • Fax: 914-594-4434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WILLIAM HOWARD FRISHMAN
Title or Position: CHAIRMAN
Credential: MD
Phone: 914-594-4388