Provider Demographics
NPI:1518176841
Name:LOBATO FRANK, DOREEN (PA)
Entity Type:Individual
Prefix:MS
First Name:DOREEN
Middle Name:
Last Name:LOBATO FRANK
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:867 ATLANTIC ST
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-6210
Mailing Address - Country:US
Mailing Address - Phone:631-752-0606
Mailing Address - Fax:
Practice Address - Street 1:5600 SUNRISE HIGHWAY
Practice Address - Street 2:N/A
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-3671
Practice Address - Country:US
Practice Address - Phone:631-563-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007506363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical