Provider Demographics
NPI:1003136409
Name:FRANZONE, ERIC S (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:S
Last Name:FRANZONE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18351-0233
Mailing Address - Country:US
Mailing Address - Phone:347-460-4768
Mailing Address - Fax:610-452-2318
Practice Address - Street 1:83 HARTFORD AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-3111
Practice Address - Country:US
Practice Address - Phone:347-460-4768
Practice Address - Fax:610-452-2318
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool