Provider Demographics
NPI:1497798706
Name:TELANG, FRANK WOHLSEIN (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:WOHLSEIN
Last Name:TELANG
Suffix:
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 1:8 VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-6115
Mailing Address - Country:US
Mailing Address - Phone:631-344-3169
Mailing Address - Fax:631-828-2290
Practice Address - Street 1:145 WAVERLY AVE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-2181
Practice Address - Country:US
Practice Address - Phone:631-758-6445
Practice Address - Fax:631-758-6379
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2226942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF09428Medicare UPIN
NY539N61Medicare ID - Type Unspecified