MEDICARE: DR. ETTA B FRANKEL 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	207RH0003X	Hematology & Oncology Physician	152845-1	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	:	1952394967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ETTA B FRANKEL M.D.

Provider Business Mailing Address
First Line	:	150 E 42ND ST FL 9
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-5699
Country	:	US
Telephone Number	:	646-605-8188
Fax Number	:	212-523-7410

Provider Business Practice Location Address
First Line	:	2109 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10023-2138
Country	:	US
Telephone Number	:	212-523-8672
Fax Number	:	212-492-5505

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	04/17/2019

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