Provider Demographics
NPI:1205131315
Name:FRANK, DANIEL JAY
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JAY
Last Name:FRANK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1050
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33929-1050
Mailing Address - Country:US
Mailing Address - Phone:914-815-5775
Mailing Address - Fax:
Practice Address - Street 1:5051 INDIGO BAY BLVD
Practice Address - Street 2:102
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-7941
Practice Address - Country:US
Practice Address - Phone:914-815-5775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling