Provider Demographics
NPI:1265516199
Name:ROSS, FRANK J (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:ROSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 152
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10150-0152
Mailing Address - Country:US
Mailing Address - Phone:201-703-5312
Mailing Address - Fax:866-410-7933
Practice Address - Street 1:1775 YORK AVE
Practice Address - Street 2:# 27G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6900
Practice Address - Country:US
Practice Address - Phone:201-703-5312
Practice Address - Fax:866-410-7933
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1860451207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F67539Medicare UPIN
NY8K2681Medicare ID - Type Unspecified