Provider Demographics
NPI:1396785879
Name:FRANKEL, STANLEY RABAN (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:RABAN
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:177 FORT WASHINGTON AVE
Mailing Address - Street 2:MILSTEIN HOSPITAL BUILDING, 6N-435
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3733
Mailing Address - Country:US
Mailing Address - Phone:212-305-0566
Mailing Address - Fax:212-305-6762
Practice Address - Street 1:161 FORT WASHINGTON AVE
Practice Address - Street 2:NINTH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3729
Practice Address - Country:US
Practice Address - Phone:212-305-0566
Practice Address - Fax:212-305-6762
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY167900207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD707980-01OtherBLUE CROSS/BLUE SHIELD
MD148101100Medicaid
MD707980-01OtherBLUE CROSS/BLUE SHIELD
MD160YMedicare PIN
F66692Medicare UPIN