Provider Demographics
NPI:1710570288
Name:ESPLANADA, FRANCES MAE
Entity Type:Individual
Prefix:MS
First Name:FRANCES MAE
Middle Name:
Last Name:ESPLANADA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8704 56TH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4832
Mailing Address - Country:US
Mailing Address - Phone:347-990-6307
Mailing Address - Fax:
Practice Address - Street 1:8704 56TH AVE FL 2
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4832
Practice Address - Country:US
Practice Address - Phone:347-990-6307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045548225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist