Provider Demographics
NPI:1689955742
Name:AMATO, FRANK J (LPN)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:AMATO
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 PONCHO DR
Mailing Address - Street 2:
Mailing Address - City:MASTIC
Mailing Address - State:NY
Mailing Address - Zip Code:11950-1410
Mailing Address - Country:US
Mailing Address - Phone:631-703-9221
Mailing Address - Fax:
Practice Address - Street 1:14 KAMEO DR
Practice Address - Street 2:
Practice Address - City:MASTIC
Practice Address - State:NY
Practice Address - Zip Code:11950-1702
Practice Address - Country:US
Practice Address - Phone:631-879-1531
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2015-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306634164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse