MEDICARE: FRANK A SUMNER GNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	340661	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00831445	OTHER	NY	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104960731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK A SUMNER GNP

Provider Business Mailing Address
First Line	:	105 CANAL LANDING BLVD
Second Line	:	SUITE 1
City	:	ROCHESTER
State	:	NY
Zip	:	14626-5107
Country	:	US
Telephone Number	:	585-368-4050
Fax Number	:	585-723-6705

Provider Business Practice Location Address
First Line	:	105 CANAL LANDING BLVD
Second Line	:	SUITE 1
City	:	ROCHESTER
State	:	NY
Zip	:	14626-5107
Country	:	US
Telephone Number	:	585-368-4050
Fax Number	:	585-723-6705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	06/07/2016

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