Provider Demographics
NPI:1225169865
Name:LAFARA, FRANK EDWARD (PT)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:EDWARD
Last Name:LAFARA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 464
Mailing Address - Street 2:GRACIE STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:160 E 91ST ST
Practice Address - Street 2:APARTMENT 6J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-2452
Practice Address - Country:US
Practice Address - Phone:917-714-5278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2012-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015487225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist