Provider Demographics
NPI:1841367281
Name:MACDONALD, FRANK (PA)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:
Last Name:MACDONALD
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8737 CORYELL ROAD
Mailing Address - Street 2:
Mailing Address - City:HAMMONDSPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14840-0000
Mailing Address - Country:US
Mailing Address - Phone:607-569-3255
Mailing Address - Fax:
Practice Address - Street 1:VETERANS DRIVE
Practice Address - Street 2:BATH VAMC
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-0000
Practice Address - Country:US
Practice Address - Phone:607-664-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009505363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical