Provider Demographics
NPI:1801128293
Name:REFF, FRANK MARTIN
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:MARTIN
Last Name:REFF
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 1:1304 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-4532
Mailing Address - Country:US
Mailing Address - Phone:315-782-5700
Mailing Address - Fax:315-786-1918
Practice Address - Street 1:1304 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-4532
Practice Address - Country:US
Practice Address - Phone:315-782-5700
Practice Address - Fax:315-786-1918
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI041427-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist