Provider Demographics
NPI:1588654172
Name:CONTACESSA, FRANK JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOHN
Last Name:CONTACESSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:16 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504-1437
Mailing Address - Country:US
Mailing Address - Phone:914-273-3404
Mailing Address - Fax:914-273-9647
Practice Address - Street 1:16 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504-1437
Practice Address - Country:US
Practice Address - Phone:914-273-3404
Practice Address - Fax:914-273-9647
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2011-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY237983207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI50065Medicare UPIN
NY201SQ1Medicare PIN