Provider Demographics
NPI:1881849354
Name:HAFTER-FRANKSTON, ALICE JEANNE (PA)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:JEANNE
Last Name:HAFTER-FRANKSTON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 46TH ST
Mailing Address - Street 2:3E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-3000
Mailing Address - Country:US
Mailing Address - Phone:917-957-4243
Mailing Address - Fax:
Practice Address - Street 1:300 E 46TH ST
Practice Address - Street 2:3E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-3000
Practice Address - Country:US
Practice Address - Phone:917-957-4243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0005978-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant