Provider Demographics
NPI:1336321603
Name:FRUSTACE, FRANK SALVATORE
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:SALVATORE
Last Name:FRUSTACE
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 1:40 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-4716
Mailing Address - Country:US
Mailing Address - Phone:914-941-4476
Mailing Address - Fax:914-941-6334
Practice Address - Street 1:40 SPRING ST
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-4716
Practice Address - Country:US
Practice Address - Phone:914-941-4476
Practice Address - Fax:914-941-6334
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042647183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist