Provider Demographics
NPI:1427586320
Name:DELGADO, FRANCES M
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:M
Last Name:DELGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7908 60TH ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6021
Mailing Address - Country:US
Mailing Address - Phone:917-960-0995
Mailing Address - Fax:
Practice Address - Street 1:382 MAIN ST STE 100A
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3181
Practice Address - Country:US
Practice Address - Phone:516-767-7216
Practice Address - Fax:516-767-0129
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-23
Last Update Date:2017-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2579615174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist