Provider Demographics
NPI:1346334257
Name:FRANCO, ROCCO (MD)
Entity Type:Individual
Prefix:DR
First Name:ROCCO
Middle Name:
Last Name:FRANCO
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 1:98 AVENUE U
Mailing Address - Street 2:SUITE 12
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3641
Mailing Address - Country:US
Mailing Address - Phone:718-915-2236
Mailing Address - Fax:
Practice Address - Street 1:228 MONTROSE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-2722
Practice Address - Country:US
Practice Address - Phone:718-456-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2082252084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02048391Medicaid
NY02048391Medicaid
NY8T2192Medicare ID - Type Unspecified