Provider Demographics
NPI:1144209610
Name:FRANCOIS, JEAN DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:DANIEL
Last Name:FRANCOIS
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 1:1713-19 RALPH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236
Mailing Address - Country:US
Mailing Address - Phone:718-531-6100
Mailing Address - Fax:718-531-2329
Practice Address - Street 1:1713-19 RALPH AVENUE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236
Practice Address - Country:US
Practice Address - Phone:718-531-6100
Practice Address - Fax:718-531-2329
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2009-03-16
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2007-07-30
Provider Licenses
StateLicense IDTaxonomies
NY19732962084P2900X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01655701Medicaid
G32201Medicare UPIN