Provider Demographics
NPI:1457482218
Name:SCORSESE, FRANK PAUL (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:PAUL
Last Name:SCORSESE
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 1:2492 OCEANSIDE RD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-1508
Mailing Address - Country:US
Mailing Address - Phone:516-825-5190
Mailing Address - Fax:516-825-7672
Practice Address - Street 1:2492 OCEANSIDE RD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-1508
Practice Address - Country:US
Practice Address - Phone:516-825-5190
Practice Address - Fax:516-825-7672
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2016-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0291541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1457482218OtherDENTIST