Provider Demographics
NPI:1689946972
Name:FRANCO, ALICE DANIELLE (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:DANIELLE
Last Name:FRANCO
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1148 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4416
Mailing Address - Country:US
Mailing Address - Phone:646-643-4667
Mailing Address - Fax:
Practice Address - Street 1:1148 E 18TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4416
Practice Address - Country:US
Practice Address - Phone:646-643-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015320-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant