Provider Demographics
NPI:1891045647
Name:POMERANTZ, FRANCES H (RPA-C)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:H
Last Name:POMERANTZ
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1048 WINDERMERE ROAD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010-1701
Mailing Address - Country:US
Mailing Address - Phone:516-729-5562
Mailing Address - Fax:
Practice Address - Street 1:1048 WINDERMERE RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN SQ
Practice Address - State:NY
Practice Address - Zip Code:11010-1701
Practice Address - Country:US
Practice Address - Phone:516-729-5562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015890363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical