Individual
DR. FRANK SUPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
51-15 BEACH CHANNEL DRIVE, FAR ROCKAWAY, NY 11691
(516) 554-6477
Mailing address
610 OCEANPOINT AVE, CEDARHURST, NY 11516-1301
(516) 554-6477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
262705
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2010
Last updated
03/07/2023
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