MEDICARE: DR. MEGAN MAUREEN FROST 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	103T00000X	Psychologist	025046	NY

General Provider Information

NPI Number	:	1497478986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN MAUREEN FROST PHD

Provider Business Mailing Address
First Line	:	110 E END AVE # PHK
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-7412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 E END AVE # PHK
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10028-7412
Country	:	US
Telephone Number	:	617-838-8474
Fax Number	:

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

Provider Enumeration Date	:	09/21/2022
Last Update Date	:	09/21/2022

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