Provider Demographics
NPI:1003555194
Name:FRANCO, ALYSSA (LMT)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:
Last Name:FRANCO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 145TH ST APT 2B
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10454-1054
Mailing Address - Country:US
Mailing Address - Phone:718-679-3086
Mailing Address - Fax:
Practice Address - Street 1:401 E 145TH ST APT 2B
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10454-1054
Practice Address - Country:US
Practice Address - Phone:718-679-3086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031688-01225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist