Provider Demographics
NPI:1487663142
Name:DR S FRANCO MEDICAL ASSOCIATES PLLC
Entity Type:Organization
Organization Name:DR S FRANCO MEDICAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFANO
Authorized Official - Middle Name:GIACOMO
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-372-0500
Mailing Address - Street 1:98 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3641
Mailing Address - Country:US
Mailing Address - Phone:718-372-0500
Mailing Address - Fax:718-946-1450
Practice Address - Street 1:98 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3641
Practice Address - Country:US
Practice Address - Phone:718-372-0500
Practice Address - Fax:718-946-1450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159095207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00861647Medicaid
NYA61465Medicare UPIN
NY00861647Medicaid