Provider Demographics
NPI:1437183878
Name:FRANKS, ANDREW G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:G
Last Name:FRANKS
Suffix:JR
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 1:530 FIRST AVENUE,
Mailing Address - Street 2:SUITE 7R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016
Mailing Address - Country:US
Mailing Address - Phone:212-263-5889
Mailing Address - Fax:212-263-7680
Practice Address - Street 1:530 FIRST AVENUE,
Practice Address - Street 2:SUITE 7R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-263-5889
Practice Address - Fax:212-263-7680
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1127581174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY315661Medicare ID - Type UnspecifiedMEDICARE PROVIDER ID
NYC08296Medicare UPIN