Provider Demographics
NPI:1568055879
Name:FRANCIS, TONY ERROL (SOCIAL WORK)
Entity Type:Individual
Prefix:
First Name:TONY
Middle Name:ERROL
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 SAINT MARKS PL APT 4L
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-1864
Mailing Address - Country:US
Mailing Address - Phone:347-885-3523
Mailing Address - Fax:
Practice Address - Street 1:285 SAINT MARKS PL APT 4L
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-1864
Practice Address - Country:US
Practice Address - Phone:347-885-3523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10843-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker