Provider Demographics
NPI:1891136909
Name:FRENKEL, ALLAN (RPA-C, MPAS)
Entity Type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:
Last Name:FRENKEL
Suffix:
Gender:M
Credentials:RPA-C, MPAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5056
Mailing Address - Country:US
Mailing Address - Phone:347-330-4652
Mailing Address - Fax:718-494-0668
Practice Address - Street 1:1 PENN PLZ STE 725
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10119-0002
Practice Address - Country:US
Practice Address - Phone:212-809-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016021363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant