Provider Demographics
NPI:1164584967
Name:PASTORE, FRANK RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:RICHARD
Last Name:PASTORE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2906
Mailing Address - Country:US
Mailing Address - Phone:914-737-8217
Mailing Address - Fax:914-734-2494
Practice Address - Street 1:1040 MAIN ST
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2906
Practice Address - Country:US
Practice Address - Phone:914-737-8217
Practice Address - Fax:914-734-2494
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1350772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB17045Medicare UPIN