Provider Demographics
NPI:1922146265
Name:CARPINIELLO, FRANK V (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:V
Last Name:CARPINIELLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 FOREST HILL RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-6323
Mailing Address - Country:US
Mailing Address - Phone:718-720-2220
Mailing Address - Fax:718-815-3961
Practice Address - Street 1:1023 FOREST HILL RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-6323
Practice Address - Country:US
Practice Address - Phone:718-720-2220
Practice Address - Fax:718-815-3961
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160415207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01219387Medicaid
05228OtherOXFORD
0072351OtherGHI
05228OtherOXFORD
NY01219387Medicaid