Dr. Keith Fratta
General Practice Physician
226 W 238th St # A
Bronx
, New York 10463-2423
Dr. Keith Fratta
General Practice Physician
226 W 238th St # A
Bronx
, New York 10463-2423
(718) 601-0313
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Keith Fratta
- 226 W 238th St # A
- Bronx, NY
- Zip : 10463-2423
- Fax : (718) 601-0313
- Phone : (718) 601-3300
Second Address
- Dr. Keith Fratta
- 226 W 238th St # A
- Bronx, NY
- Zip : 10463-2423
- Fax : (718) 601-0313
- Phone : (718) 601-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 224858 | NY |
National Provider Identifier
| NPI | 1003881509 |
|---|---|
| Provider Name | Dr. Keith Fratta |
| First Address | Bronx, NY 10463-2423 |
| Second Address | Bronx, NY 10463-2423 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/02/2006 |
| Last Update Date | 12/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02176772 | MEDICAID GROUP (01) | NY |
| 02366618 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.