Provider Demographics
NPI:1265418818
Name:ROSS, FRANK LEWIS (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:LEWIS
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:550 1ST AVE
Mailing Address - Street 2:NBV-15N1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6402
Mailing Address - Country:US
Mailing Address - Phone:646-398-2724
Mailing Address - Fax:212-263-8216
Practice Address - Street 1:550 1ST AVE
Practice Address - Street 2:NBV-15N1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:646-398-2724
Practice Address - Fax:212-263-8216
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2022-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY166768208600000X, 2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01677930Medicaid
NY01677930Medicaid
NYE44918Medicare UPIN