Provider Demographics
NPI:1598789018
Name:FRUMKIN, WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:FRUMKIN
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 1:184 E 70TH ST
Mailing Address - Street 2:SUITE B2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5154
Mailing Address - Country:US
Mailing Address - Phone:212-535-1550
Mailing Address - Fax:212-535-5012
Practice Address - Street 1:184 E 70TH ST
Practice Address - Street 2:SUITE B2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5154
Practice Address - Country:US
Practice Address - Phone:212-535-1550
Practice Address - Fax:212-535-5012
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1783831207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY20 3253410OtherTAX ID
NYE94697Medicare UPIN
NY83F381Medicare ID - Type UnspecifiedNY MEDICARE PROVIDER ID