MEDICARE: ALEXANDER FRENKEL D.O.

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	208000000X	Pediatrics Physician	239247-1	NY

General Provider Information

NPI Number	:	1982785374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER FRENKEL D.O.

Provider Business Mailing Address
First Line	:	2843 W 16TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2605
Country	:	US
Telephone Number	:	917-685-6862
Fax Number	:

Provider Business Practice Location Address
First Line	:	1386 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-1353
Country	:	US
Telephone Number	:	917-652-4020
Fax Number	:	917-652-4022

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	09/07/2011

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