Provider Demographics
NPI:1619969946
Name:JUSMA, FRANCOISE DIEUDONNE (DPM)
Entity Type:Individual
Prefix:
First Name:FRANCOISE
Middle Name:DIEUDONNE
Last Name:JUSMA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 VILLAGE HILL DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5515
Mailing Address - Country:US
Mailing Address - Phone:917-601-8969
Mailing Address - Fax:
Practice Address - Street 1:315 ROCKAWAY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-4810
Practice Address - Country:US
Practice Address - Phone:917-601-8969
Practice Address - Fax:718-963-8784
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-23
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005350213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01745615Medicaid
NYP91821Medicare ID - Type Unspecified
NY01745615Medicaid