Provider Demographics
NPI:1174671960
Name:FRANKEL, IRA (PHD)
Entity Type:Individual
Prefix:DR
First Name:IRA
Middle Name:
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6924 222ND ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2620
Mailing Address - Country:US
Mailing Address - Phone:718-224-5896
Mailing Address - Fax:
Practice Address - Street 1:7531 113TH ST
Practice Address - Street 2:G-1
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5508
Practice Address - Country:US
Practice Address - Phone:718-544-8821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR011950-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY52018Medicare PIN
NYR28299Medicare UPIN
NYG400038676Medicare PIN