Provider Demographics
NPI:1265467328
Name:MONREAL, FRANCISCO JAVIER (MD)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:MONREAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4413 S SALINA ST
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13205-2341
Mailing Address - Country:US
Mailing Address - Phone:315-469-1148
Mailing Address - Fax:315-492-9085
Practice Address - Street 1:4413 S SALINA ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13205-2341
Practice Address - Country:US
Practice Address - Phone:315-469-1148
Practice Address - Fax:315-492-9085
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1185762084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00539946Medicaid
NY35557BMedicare ID - Type Unspecified
NY00539946Medicaid