Individual
DR. KEITH FRATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
226 W 238TH ST # A, BRONX, NY 10463-2423
(718) 601-3300
(718) 601-0313
Mailing address
226 W 238TH ST # A, BRONX, NY 10463-2423
(718) 601-3300
(718) 601-0313
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
224858
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02176772
MEDICAID GROUP
NY
05
—
02366618
—
NY
Enumeration date
02/20/2006
Last updated
01/12/2018
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