Provider Demographics
NPI:1073587978
Name:CERABONA, FRANCO P (MD)
Entity Type:Individual
Prefix:
First Name:FRANCO
Middle Name:P
Last Name:CERABONA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 W ILLIAM STREET
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-0000
Mailing Address - Country:US
Mailing Address - Phone:212-312-5922
Mailing Address - Fax:212-312-5470
Practice Address - Street 1:170 WILLIAM ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2612
Practice Address - Country:US
Practice Address - Phone:212-312-5922
Practice Address - Fax:212-312-5470
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY147290207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00999151Medicaid
NYC11977Medicare UPIN
NY70D882Medicare ID - Type UnspecifiedMEDICARE NUMBER