MEDICARE: DALIA FRUMKIN MD

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	207RN0300X	Nephrology Physician	209155	NY

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	:	1164484135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALIA FRUMKIN MD

Provider Business Mailing Address
First Line	:	30 E 37TH ST APT M1
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-3013
Country	:	US
Telephone Number	:	718-830-3333
Fax Number	:

Provider Business Practice Location Address
First Line	:	9715 64TH RD LOWR LEVEL
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-2250
Country	:	US
Telephone Number	:	718-830-3333
Fax Number	:	718-830-3722

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	07/02/2024

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