MEDICARE: DR. IRA FRANKEL PHD

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	1041C0700X	Clinical Social Worker	PR011950-1	NY

General Provider Information

NPI Number	:	1174671960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRA FRANKEL PHD

Provider Business Mailing Address
First Line	:	6924 222ND ST
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-2620
Country	:	US
Telephone Number	:	718-224-5896
Fax Number	:

Provider Business Practice Location Address
First Line	:	7531 113TH ST
Second Line	:	G-1
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5508
Country	:	US
Telephone Number	:	718-544-8821
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	02/21/2017

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