Provider Demographics
NPI:1952302440
Name:PIROZZOLO, FRANK J (OD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:PIROZZOLO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 COOPER AVENUE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305
Mailing Address - Country:US
Mailing Address - Phone:718-979-2020
Mailing Address - Fax:718-979-2141
Practice Address - Street 1:50 COOPER AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-1344
Practice Address - Country:US
Practice Address - Phone:718-979-2020
Practice Address - Fax:718-979-2141
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT003666152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00330570Medicaid
NY00330570Medicaid
T71141Medicare UPIN