Provider Demographics
NPI:1063474930
Name:FRUMKIN NEPHROLOGY ASSOCIATES PC
Entity Type:Organization
Organization Name:FRUMKIN NEPHROLOGY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:DALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRUMKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-830-3333
Mailing Address - Street 1:12320 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1207
Mailing Address - Country:US
Mailing Address - Phone:718-830-3333
Mailing Address - Fax:
Practice Address - Street 1:12320 82ND AVE
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1207
Practice Address - Country:US
Practice Address - Phone:718-830-3333
Practice Address - Fax:718-830-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY40118HMedicare ID - Type Unspecified
NY40118Medicare ID - Type Unspecified
NY40118IMedicare ID - Type Unspecified
NYA100000600Medicare PIN