Provider Demographics
NPI:1497827760
Name:FRANCOIS, MATHIEU (MD)
Entity Type:Individual
Prefix:
First Name:MATHIEU
Middle Name:
Last Name:FRANCOIS
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 1:2905 AVENUE D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7805
Mailing Address - Country:US
Mailing Address - Phone:718-826-6668
Mailing Address - Fax:
Practice Address - Street 1:2905 AVENUE D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7805
Practice Address - Country:US
Practice Address - Phone:718-826-6668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2017-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195743173000000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01624877Medicaid
NY01624877Medicaid
NY69J431Medicare ID - Type Unspecified