Organization
FREDERICK J SCHRANK ESTATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNE SCHRANK (OWNER)
(631) 979-8583
Entity
Organization
Contact information
Practice address
763 MONTAUK HWY, WEST ISLIP, NY 11795-4900
(631) 587-0953
(631) 587-1055
Mailing address
4 TIDE MILL RD, SAINT JAMES, NY 11780-9626
(631) 979-8583
(631) 979-0065
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0278531
NY
Other
Enumeration date
10/28/2017
Last updated
06/16/2018
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