Provider Demographics
NPI:1578724100
Name:DALMACIO H. FRANCISCO M.D., PC
Entity Type:Organization
Organization Name:DALMACIO H. FRANCISCO M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DALMACIO
Authorized Official - Middle Name:HONASAN
Authorized Official - Last Name:FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-575-8820
Mailing Address - Street 1:8420 169TH ST
Mailing Address - Street 2:JAMAICA HILLS
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2034
Mailing Address - Country:US
Mailing Address - Phone:347-575-8820
Mailing Address - Fax:
Practice Address - Street 1:4528 21ST ST
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5212
Practice Address - Country:US
Practice Address - Phone:347-575-8850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200393207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty