Provider Demographics
NPI:1003944844
Name:ALTENORD, FRANK METON
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:METON
Last Name:ALTENORD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 SENECA AVE
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-8002
Mailing Address - Country:US
Mailing Address - Phone:631-586-8304
Mailing Address - Fax:631-586-8304
Practice Address - Street 1:33 WALT WHITMAN RD
Practice Address - Street 2:SUITE 300
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3640
Practice Address - Country:US
Practice Address - Phone:347-385-7938
Practice Address - Fax:631-586-8304
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0129321235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist