=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326157264
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FRANK FOTO M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/30/2006
-----------------------------------------------------
Last Update Date | 09/03/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 310 N HIGHLAND AVE SUITE 7
-----------------------------------------------------
City | OSSINING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10562-6300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-762-5555
-----------------------------------------------------
Fax | 914-923-7033
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 310 N HIGHLAND AVE SUITE 7
-----------------------------------------------------
City | OSSINING
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10562-6300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 914-762-5555
-----------------------------------------------------
Fax | 914-923-7033
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | 164114
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------