Provider Demographics
NPI:1245207125
Name:FRANK R TITONE MD PC
Entity Type:Organization
Organization Name:FRANK R TITONE MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:TITONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-426-4474
Mailing Address - Street 1:3742 73RD ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-6246
Mailing Address - Country:US
Mailing Address - Phone:718-426-4474
Mailing Address - Fax:718-426-3736
Practice Address - Street 1:3742 73RD ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-6246
Practice Address - Country:US
Practice Address - Phone:718-426-4474
Practice Address - Fax:718-426-3736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY181171207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01557928Medicaid
E86662Medicare UPIN
NY36561HMedicare ID - Type Unspecified