Provider Demographics
NPI:1598242737
Name:DR. VIOLINA FRENKEL MD LLC
Entity Type:Organization
Organization Name:DR. VIOLINA FRENKEL MD LLC
Other - Org Name:INTEGRATIVE BEHAVIORAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:VIOLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRENKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-522-6617
Mailing Address - Street 1:33 OVERLOOK RD STE 210
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3562
Mailing Address - Country:US
Mailing Address - Phone:908-522-6617
Mailing Address - Fax:908-273-0815
Practice Address - Street 1:33 OVERLOOK RD STE 210
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3562
Practice Address - Country:US
Practice Address - Phone:908-522-6617
Practice Address - Fax:908-273-0815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA089879002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty