Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NS0005X | Chiropractic Sports Physician | 38MC00232500 | NJ |
Y | 111NS0005X | Chiropractic Sports Physician | X003217-1 | NY |
NPI | 1306983317 |
---|---|
Provider Name | Dr. Robert Scott Frank |
First Address | Islip Terrace, NY 11752-0083 |
Second Address | Islip Terrace, NY 11752-1627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |