Provider Demographics
NPI:1336324078
Name:FRANKEL, IRA S (RPH)
Entity Type:Individual
Prefix:MR
First Name:IRA
Middle Name:S
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MAMARONECK AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4263
Mailing Address - Country:US
Mailing Address - Phone:914-761-7718
Mailing Address - Fax:914-684-9773
Practice Address - Street 1:100 MAMARONECK AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4263
Practice Address - Country:US
Practice Address - Phone:914-761-7718
Practice Address - Fax:914-684-9773
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2007-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01333682Medicaid