Provider Demographics
NPI:1760478457
Name:ALFARO-FRANCO, CARINA M (MS MD FACC)
Entity Type:Individual
Prefix:
First Name:CARINA
Middle Name:M
Last Name:ALFARO-FRANCO
Suffix:
Gender:F
Credentials:MS MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:ENROLLMENT DEPARTMENT
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-4500
Mailing Address - Country:US
Mailing Address - Phone:315-362-5129
Mailing Address - Fax:315-362-5179
Practice Address - Street 1:164 BROAD ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NY
Practice Address - Zip Code:13346-9575
Practice Address - Country:US
Practice Address - Phone:315-824-4600
Practice Address - Fax:315-824-8447
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY22814207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02195215Medicaid
F64476Medicare UPIN
NY02195215Medicaid
NY060069168Medicare PIN
NYDD3672Medicare PIN