Provider Demographics
NPI:1942295613
Name:RATZKEN, FRANK (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:RATZKEN
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 1:2601 OCEAN PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7745
Mailing Address - Country:US
Mailing Address - Phone:718-616-3205
Mailing Address - Fax:718-616-5037
Practice Address - Street 1:2601 OCEAN PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7745
Practice Address - Country:US
Practice Address - Phone:718-616-3205
Practice Address - Fax:718-616-5037
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2182562080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY589Y52OtherEMPIRE BCBS
NY02440540Medicaid
NY0101583-02OtherAMERICHOICE
NY162830101OtherHEALTH PLUS
NY218256OtherHIP
NY3C9948OtherHEALTH NET
NYP3200333OtherOXFORD HEALTH
NY555Y81Medicare ID - Type Unspecified
NY02440540Medicaid