Individual
DR. PHILIP CARMINE FRACASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
393 FRANKLIN AVE, SUITE 104, FRANKLIN SQUARE, NY 11010-1227
(516) 352-1380
(516) 352-1381
Mailing address
393 FRANKLIN AVE, SUITE 104, FRANKLIN SQUARE, NY 11010-1227
(516) 352-1380
(516) 352-1381
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
122364-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094688
GHI
NY
01
—
112526966
UNITED HEALTH CARE
NY
01
—
25403P
HIP
NY
01
—
320111
BLUE CROSS/BUE SHIELD
NY
01
—
660440
HEALTHCARE PARTNERS
NY
01
—
884939
AETNA
NY
01
—
AS639
OXFORD HEALTH PLANS
NY
Enumeration date
04/17/2006
Last updated
09/02/2010
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