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Individual

DR. JERRY REED FRANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
161 WEEKS DR, DIX HILLS, NY 11746-6215
(631) 254-0688
(612) 367-0585
Mailing address
161 WEEKS DR, DIX HILLS, NY 11746-6215
(631) 254-0688
(612) 367-0585

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
148185
NY

Other

Enumeration date
09/11/2012
Last updated
09/11/2012
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