Provider Demographics
NPI:1568436327
Name:LEVEILLE, FRANCK HENRY
Entity Type:Individual
Prefix:
First Name:FRANCK
Middle Name:HENRY
Last Name:LEVEILLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 MELTON DR E
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11570
Mailing Address - Country:US
Mailing Address - Phone:718-596-9800
Mailing Address - Fax:718-596-9889
Practice Address - Street 1:650 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-1517
Practice Address - Country:US
Practice Address - Phone:718-596-9800
Practice Address - Fax:718-596-9889
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1942462207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
27556010OtherHEALTH PLUS CHILD HEALTH
5901876OtherGHI
P467317OtherOXFORD
08P5692OtherNY PRES CHP
171074OtherWELLCARE
PC2489OtherCENTER CARE CHP
194246OtherHIP
2361244OtherAETNA HMO
3H8191OtherBCBS
40426028484OtherFIDELIS
194246A21OtherHEALTH FIRST
7976119OtherAETNA PPO POS