Provider Demographics
NPI:1689852352
Name:STRAFACI, FRANK ANDREW
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:ANDREW
Last Name:STRAFACI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 W 57TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3328
Mailing Address - Country:US
Mailing Address - Phone:212-956-0464
Mailing Address - Fax:212-956-0415
Practice Address - Street 1:100 W 57TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3328
Practice Address - Country:US
Practice Address - Phone:212-956-0464
Practice Address - Fax:212-956-0415
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY40087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01787360Medicaid