Provider Demographics
NPI:1598178659
Name:LISACCHI, FRANCO CIANO I (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:FRANCO
Middle Name:CIANO
Last Name:LISACCHI
Suffix:I
Gender:M
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 ADEN RD
Mailing Address - Street 2:
Mailing Address - City:LIBERTY
Mailing Address - State:NY
Mailing Address - Zip Code:12754-2511
Mailing Address - Country:US
Mailing Address - Phone:845-798-0270
Mailing Address - Fax:
Practice Address - Street 1:141 ADEN RD
Practice Address - Street 2:
Practice Address - City:LIBERTY
Practice Address - State:NY
Practice Address - Zip Code:12754-2511
Practice Address - Country:US
Practice Address - Phone:845-798-0270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY607830-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health