Provider Demographics
NPI:1619046182
Name:FILIPOWICZ, FRANCINE BARBARA (OPHTHALMIC DISPENSER)
Entity Type:Individual
Prefix:MRS
First Name:FRANCINE
Middle Name:BARBARA
Last Name:FILIPOWICZ
Suffix:
Gender:F
Credentials:OPHTHALMIC DISPENSER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:206 N ELM ST
Mailing Address - Street 2:
Mailing Address - City:N MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-2519
Mailing Address - Country:US
Mailing Address - Phone:631-665-4700
Mailing Address - Fax:631-665-4702
Practice Address - Street 1:1701 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-6091
Practice Address - Country:US
Practice Address - Phone:631-665-4700
Practice Address - Fax:631-665-4702
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007210-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician