Provider Demographics
NPI:1477564458
Name:FRANK, ANDREW TODD
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:TODD
Last Name:FRANK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-4622
Mailing Address - Country:US
Mailing Address - Phone:518-456-3551
Mailing Address - Fax:518-456-3575
Practice Address - Street 1:1816 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-4622
Practice Address - Country:US
Practice Address - Phone:518-456-3551
Practice Address - Fax:518-456-3575
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0436301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice