Provider Demographics
NPI:1568495109
Name:SANGIOVANNI, FRANCINE (MD)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:
Last Name:SANGIOVANNI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 YORK AVE
Mailing Address - Street 2:APT 28M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-6752
Mailing Address - Country:US
Mailing Address - Phone:212-289-3228
Mailing Address - Fax:
Practice Address - Street 1:1675 YORK AVE
Practice Address - Street 2:APT 28M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-6752
Practice Address - Country:US
Practice Address - Phone:212-289-3228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2014-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1131252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB16429Medicare UPIN
NY174BR1Medicare ID - Type UnspecifiedPART B PROVIDER NUMBER