MEDICARE: DR. FRANTZ JASMIN M.D.

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	174400000X	Specialist	176059	NY

General Provider Information

NPI Number	:	1710010244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANTZ JASMIN M.D.

Provider Business Mailing Address
First Line	:	3919 DYRE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2507
Country	:	US
Telephone Number	:	718-994-8932
Fax Number	:	718-798-0945

Provider Business Practice Location Address
First Line	:	3919 DYRE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2507
Country	:	US
Telephone Number	:	718-994-8932
Fax Number	:	718-798-0945

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

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	07/09/2007

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