Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 102171 | NY |
NPI | 1003475229 |
---|---|
Provider Name | Mr. Peter C Frank |
First Address | New York, NY 10025-5036 |
Second Address | New York, NY 10010-8104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2019 |
Last Update Date | 11/06/2019 |