Provider Demographics
NPI:1275830663
Name:FRANGELLA, ANDREW DOMINIC (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DOMINIC
Last Name:FRANGELLA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 6TH AVE STE 2708
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-4801
Mailing Address - Country:US
Mailing Address - Phone:212-245-2888
Mailing Address - Fax:212-245-2488
Practice Address - Street 1:1350 6TH AVE STE 2708
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-4801
Practice Address - Country:US
Practice Address - Phone:212-245-2888
Practice Address - Fax:212-245-2488
Is Sole Proprietor?:No
Enumeration Date:2011-02-21
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052108-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice