Provider Demographics
NPI:1417271354
Name:ANDREW J. FRANZONE, MD, PC
Entity Type:Organization
Organization Name:ANDREW J. FRANZONE, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:FRANZONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-861-3095
Mailing Address - Street 1:605 EAST 82 STREET
Mailing Address - Street 2:APT 20A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7961
Mailing Address - Country:US
Mailing Address - Phone:212-861-3095
Mailing Address - Fax:
Practice Address - Street 1:605 EAST 82 STREET
Practice Address - Street 2:APT 20A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-7961
Practice Address - Country:US
Practice Address - Phone:212-861-3095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-22
Last Update Date:2010-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0949441208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
B20496Medicare UPIN
962051Medicare PIN