Provider Demographics
NPI:1649309576
Name:NOCHIMSON, FRANK MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:MICHAEL
Last Name:NOCHIMSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:416 74TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2602
Mailing Address - Country:US
Mailing Address - Phone:718-833-5197
Mailing Address - Fax:718-833-5164
Practice Address - Street 1:416 74TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2602
Practice Address - Country:US
Practice Address - Phone:718-833-5197
Practice Address - Fax:718-833-5164
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2013-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144066207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB19869Medicare UPIN