Provider Demographics
NPI:1740570233
Name:BOSWELL, FRANCES MELDRIM (LAC)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:MELDRIM
Last Name:BOSWELL
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 GREAT JONES ST
Mailing Address - Street 2:APARTMENT 5W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1169
Mailing Address - Country:US
Mailing Address - Phone:917-697-9007
Mailing Address - Fax:
Practice Address - Street 1:205 E 16TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3746
Practice Address - Country:US
Practice Address - Phone:917-697-9007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004526171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist