Provider Demographics
NPI:1114197910
Name:FRANCIN, FRANCIS M (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:M
Last Name:FRANCIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:680 MAIN ST
Mailing Address - Street 2:SUITE2
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2203
Mailing Address - Country:US
Mailing Address - Phone:631-474-8626
Mailing Address - Fax:531-474-8626
Practice Address - Street 1:680 MAIN ST
Practice Address - Street 2:SUITE2
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2203
Practice Address - Country:US
Practice Address - Phone:631-474-8626
Practice Address - Fax:531-474-8626
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY183752207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine