Provider Demographics
NPI:1629339429
Name:VIGNOLA, FRANK (MS SPECIAL EDUCATION)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:VIGNOLA
Suffix:
Gender:M
Credentials:MS SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15815 92ND ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3100
Mailing Address - Country:US
Mailing Address - Phone:917-626-4001
Mailing Address - Fax:
Practice Address - Street 1:15815 92ND ST
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-3100
Practice Address - Country:US
Practice Address - Phone:917-626-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1923934174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist