Provider Demographics
NPI:1275176620
Name:FRANCINE D YORK APRN PLLC
Entity Type:Organization
Organization Name:FRANCINE D YORK APRN PLLC
Other - Org Name:BEAR POND FAMILY MEDICINE & PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCINE
Authorized Official - Middle Name:DEVINE
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:860-883-5129
Mailing Address - Street 1:55 HAZARD AVE
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3826
Mailing Address - Country:US
Mailing Address - Phone:860-744-2244
Mailing Address - Fax:860-744-2220
Practice Address - Street 1:55 HAZARD AVE
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3826
Practice Address - Country:US
Practice Address - Phone:860-744-2244
Practice Address - Fax:860-744-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1114397684Medicaid