Individual
FRANK W COMPOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5704
(315) 423-6853
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5704
(315) 423-6853
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
204159
NY
207Q00000X
Family Medicine Physician
2041591
NY
208M00000X
Hospitalist Physician
2041591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01865681
—
NY
Enumeration date
03/27/2006
Last updated
01/10/2013
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