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1942295613

NPI Code Detail

MEDICARE: FRANK RATZKEN MD

MEDICARE: FRANK RATZKEN 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	2080A0000X	Pediatric Adolescent Medicine Physician	218256	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	589Y52	OTHER	NY	EMPIRE BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0101583-02	OTHER	NY	AMERICHOICE
4	162830101	OTHER	NY	HEALTH PLUS
5	218256	OTHER	NY	HIP
6	3C9948	OTHER	NY	HEALTH NET
7	P3200333	OTHER	NY	OXFORD HEALTH

General Provider Information

NPI Number	:	1942295613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK RATZKEN MD

Provider Business Mailing Address
First Line	:	2601 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7745
Country	:	US
Telephone Number	:	718-616-3205
Fax Number	:	718-616-5037

Provider Business Practice Location Address
First Line	:	2601 OCEAN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-7745
Country	:	US
Telephone Number	:	718-616-3205
Fax Number	:	718-616-5037

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	03/30/2015

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Directions to “ FRANK RATZKEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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