Provider Demographics
NPI:1356689988
Name:MOIRA L. FRANKLIN PHYSICIAN PC
Entity Type:Organization
Organization Name:MOIRA L. FRANKLIN PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOIRA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-750-9076
Mailing Address - Street 1:100 UNITED NATIONS PLZ
Mailing Address - Street 2:7A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1713
Mailing Address - Country:US
Mailing Address - Phone:212-750-9076
Mailing Address - Fax:212-750-9076
Practice Address - Street 1:100 UNITED NATIONS PLZ
Practice Address - Street 2:7A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1713
Practice Address - Country:US
Practice Address - Phone:212-750-9076
Practice Address - Fax:212-750-9076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY101118-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty