Provider Demographics
NPI:1184903841
Name:CHATEAU, FRANK (PA)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:CHATEAU
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:YULAN
Mailing Address - State:NY
Mailing Address - Zip Code:12792
Mailing Address - Country:US
Mailing Address - Phone:845-557-8491
Mailing Address - Fax:
Practice Address - Street 1:28 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:YULAN
Practice Address - State:NY
Practice Address - Zip Code:12792
Practice Address - Country:US
Practice Address - Phone:845-557-8491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000559-1363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical