Provider Demographics
NPI:1841245206
Name:FRANK E. LAFARA PT, P.C.
Entity Type:Organization
Organization Name:FRANK E. LAFARA PT, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAFARA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:917-714-5278
Mailing Address - Street 1:PO BOX 464
Mailing Address - Street 2:GRACIE STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0018
Mailing Address - Country:US
Mailing Address - Phone:917-714-5278
Mailing Address - Fax:212-628-7112
Practice Address - Street 1:314 E 86TH ST
Practice Address - Street 2:#4
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-4607
Practice Address - Country:US
Practice Address - Phone:917-714-5278
Practice Address - Fax:212-628-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015487261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQA7431Medicare PIN