Provider Demographics
NPI:1508163346
Name:FRENGLEY, JJAMES DERMOT (MD)
Entity Type:Individual
Prefix:DR
First Name:JJAMES
Middle Name:DERMOT
Last Name:FRENGLEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1175 YORK AVE
Mailing Address - Street 2:APT 8-C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7169
Mailing Address - Country:US
Mailing Address - Phone:212-486-2077
Mailing Address - Fax:212-318-8434
Practice Address - Street 1:1 MAIN ST
Practice Address - Street 2:ROOM, 3-45, COLER-GOLDWATER SPECIALTY HOSPITAL
Practice Address - City:ROOSEVELT ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10044-0052
Practice Address - Country:US
Practice Address - Phone:212-318-4434
Practice Address - Fax:212-318-8434
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-14
Last Update Date:2011-02-14
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Provider Licenses
StateLicense IDTaxonomies
NY181935-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine