Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 142749-1 | NY |
Y | 111NI0900X | Internist | 142749-1 | NY |
NPI | 1003036724 |
---|---|
Provider Name | Pascal Frino |
First Address | North Baldwin, NY 11510-1902 |
Second Address | Minneapolis, MN 55417-2309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 08/07/2007 |