Provider Demographics
NPI:1235491770
Name:FRANK, MAUREEN ANN (MASTERS)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ANN
Last Name:FRANK
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 MORRILL PL
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:NY
Mailing Address - Zip Code:13069-1530
Mailing Address - Country:US
Mailing Address - Phone:315-598-4859
Mailing Address - Fax:
Practice Address - Street 1:7 MORRILL PL
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:NY
Practice Address - Zip Code:13069-1530
Practice Address - Country:US
Practice Address - Phone:315-598-4859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist