Provider Demographics
NPI:1952362667
Name:SCONZO, FRANK T JR (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:T
Last Name:SCONZO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:286 SILLS RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:EAST PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-8810
Mailing Address - Country:US
Mailing Address - Phone:631-654-3100
Mailing Address - Fax:631-654-0212
Practice Address - Street 1:286 SILLS RD
Practice Address - Street 2:SUITE 5
Practice Address - City:EAST PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-8810
Practice Address - Country:US
Practice Address - Phone:631-654-3100
Practice Address - Fax:631-654-0212
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-31
Last Update Date:2017-12-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY160307208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01149137Medicaid
NY52F861Medicare ID - Type Unspecified
NY01149137Medicaid