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Provider Information for 1720080187


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Dr. FRANK RHODE MD


Sex: Male

NPI: 1720080187
Last Updated: 2023-03-07
Certification Date:

Details

NameValue
NPI1720080187
Enumeration Date2005-08-15
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 53-59 PUBLIC SQ
SUITE 201
WATERTOWN, NY 13601-2674
United States

Phone: 315-782-4950 | Fax:315-782-3699
 
Primary Practice Address 53-59 PUBLIC SQ
SUITE 201
WATERTOWN, NY 13601-2674
United States

Phone: 315-782-4950 | Fax:315-782-3699
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY01391964
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 207R00000X - Internal Medicine NY164812