# FREDERICK J SCHRANK ESTATE

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

## Provider details

- **NPI number:** 1699287870
- **Authorized official:** MRS. JUNE SCHRANK (OWNER)
- **Authorized official phone:** (631) 979-8583

## Contact information

- **Practice address:** 763 MONTAUK HWY, WEST ISLIP, NY 11795-4900
- **Practice address phone:** (631) 587-0953
- **Practice address fax:** (631) 587-1055
- **Mailing address:** 4 TIDE MILL RD, SAINT JAMES, NY 11780-9626
- **Mailing address phone:** (631) 979-8583
- **Mailing address fax:** (631) 979-0065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 0278531 | NY | Yes |

## Other

- **Enumeration date:** 10/28/2017
- **Last updated:** 06/16/2018