Provider Demographics
NPI:1073988689
Name:FRANCO, NEREYDA (MCHES)
Entity Type:Individual
Prefix:
First Name:NEREYDA
Middle Name:
Last Name:FRANCO
Suffix:
Gender:F
Credentials:MCHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 W 188 ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-5001
Mailing Address - Country:US
Mailing Address - Phone:718-563-0757
Mailing Address - Fax:
Practice Address - Street 1:3311 BAYCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-2621
Practice Address - Country:US
Practice Address - Phone:718-213-1972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23472174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY23472OtherNCHEC