Individual
DR. FRANK R AVERSANO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
257 LAFAYETTE AVE STE 200, SUFFERN, NY 10901
(845) 369-8800
Mailing address
20 GRAND ST FL 3, WARWICK, NY 10990-1035
(845) 987-3906
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
274308
NY
2251X0800X
Orthopedic Physical Therapist
023651
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/11/2006
Last updated
04/17/2024
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