# FREDERICK RUFRANO MDFACPPC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326230350
- **Authorized official:** FREDERICK RUFRANO MD (OWNER)
- **Authorized official phone:** (516) 759-5011

## Contact information

- **Practice address:** 15 GLEN ST, 101, GLEN COVE, NY 11542-2782
- **Practice address phone:** (516) 759-5011
- **Practice address fax:** (516) 656-0660
- **Mailing address:** 15 GLEN ST, 101, GLEN COVE, NY 11542-2782
- **Mailing address phone:** (516) 759-5011
- **Mailing address fax:** (516) 656-0660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2007
- **Last updated:** 04/24/2008