Provider Demographics
NPI:1003972779
Name:FRANCO, DENICE HORSFIELD (DO)
Entity Type:Individual
Prefix:
First Name:DENICE
Middle Name:HORSFIELD
Last Name:FRANCO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DENICE
Other - Middle Name:
Other - Last Name:HORSFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:631 LAKE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1964
Mailing Address - Country:US
Mailing Address - Phone:631-332-6923
Mailing Address - Fax:631-573-4820
Practice Address - Street 1:631 LAKE AVE STE A
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-1964
Practice Address - Country:US
Practice Address - Phone:631-332-6923
Practice Address - Fax:631-573-4820
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015157208100000X
PAOT011684208100000X
NYA276630-01208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation