Healthcare Provider Details

I. General information

NPI: 1275683187
Provider Name (Legal Business Name): MICHAEL FRANKENTHALER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 03/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WOODS RD TAYLOR PAVILION - SUITE D342
VALHALLA NY
10595-1530
US

IV. Provider business mailing address

100 WOODS RD TAYLOR PAVILION - SUITE D342
VALHALLA NY
10595-1530
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-6616
  • Fax: 914-493-5827
Mailing address:
  • Phone: 212-685-6660
  • Fax: 212-481-7224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2049061
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number204906
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: