Dr Mario Richard Fragala, MD is a
Psychiatry & Neurology - Psychiatry physician based in Malverne, New York. Dr Mario Richard Fragala is licensed to practice in New York (license number 104574-1) and his current practice location is 163 Wicks Ln, Malverne, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 593-4758.
NPI number for Dr Mario Richard Fragala is 1629093786 and his current mailing address is 163 Wicks Ln, Malverne, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629093786.
Physician's Profile
Full Name | Dr Mario Richard Fragala |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 163 Wicks Ln, Malverne, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629093786
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mario Richard Fragala such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629093786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 104574-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mario Richard Fragala is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mario Richard Fragala, MD 163 Wicks Ln, Malverne, NY 11565-2217 Ph: (516) 593-4758 | Dr Mario Richard Fragala, MD 163 Wicks Ln, Malverne, NY 11565-2217 Ph: (516) 593-4758 |
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