Provider Demographics
NPI:1740425495
Name:FRANK, EMILY ANN
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:ANN
Last Name:FRANK
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:EMILY
Other - Middle Name:ANN
Other - Last Name:FRANK-POGOORZELSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:2901 LEMKE DR
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-1144
Mailing Address - Country:US
Mailing Address - Phone:716-695-7614
Mailing Address - Fax:
Practice Address - Street 1:2901 LEMKE DR
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-1144
Practice Address - Country:US
Practice Address - Phone:716-695-7614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000331-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000670021001OtherBLUE CROSS/BLUE SHIELD OF WESTERN NEW YORK