Basic Information
Provider Information
NPI: 1275683187
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKENTHALER
FirstName: MICHAEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 WOODS RD
Address2: TAYLOR PAVILION - SUITE D342
City: VALHALLA
State: NY
PostalCode: 105951530
CountryCode: US
TelephoneNumber: 2126856660
FaxNumber: 2124817224
Practice Location
Address1: 100 WOODS RD
Address2: TAYLOR PAVILION - SUITE D342
City: VALHALLA
State: NY
PostalCode: 105951530
CountryCode: US
TelephoneNumber: 9144936616
FaxNumber: 9144935827
Other Information
ProviderEnumerationDate: 01/11/2007
LastUpdateDate: 03/26/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200X2049061NYN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RH0002X204906NYY Allopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine

No ID Information.


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