Provider Demographics
NPI:1811989205
Name:PINTAURO, FRANK L (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:L
Last Name:PINTAURO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 SEMINOLE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1808
Mailing Address - Country:US
Mailing Address - Phone:718-863-3079
Mailing Address - Fax:718-824-4584
Practice Address - Street 1:1750 SEMINOLE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1808
Practice Address - Country:US
Practice Address - Phone:718-863-3079
Practice Address - Fax:718-824-4584
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-22
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY141999207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00733248Medicaid
NY00733248Medicaid
75A261Medicare ID - Type Unspecified