Provider Demographics
NPI:1033204698
Name:WESTAD, FRANK HIROSHI (NP-C)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:HIROSHI
Last Name:WESTAD
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:HIROSHI
Other - Last Name:WESTAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP-C
Mailing Address - Street 1:100 PARK STREET
Mailing Address - Street 2:GLENS FALLS HOSPITAL - CREDENTIALING
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4413
Mailing Address - Country:US
Mailing Address - Phone:518-926-5924
Mailing Address - Fax:518-926-6983
Practice Address - Street 1:1134 STATE ROUTE 29
Practice Address - Street 2:GREENWICH MEDICAL CENTER
Practice Address - City:GREENWICH
Practice Address - State:NY
Practice Address - Zip Code:12834-6107
Practice Address - Country:US
Practice Address - Phone:518-692-9861
Practice Address - Fax:518-692-7947
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331647363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF331647OtherNYS NP LIC #
NY392823OtherNYS RN LIC #
NY02329682Medicaid
NY02329682Medicaid
NYF331647OtherNYS NP LIC #