Provider Demographics
NPI:1841593423
Name:FRANCISCO, JEAN KERNAN (OTR/CHT)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:KERNAN
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:OTR/CHT
Other - Prefix:MRS
Other - First Name:JEAN
Other - Middle Name:KERNAN
Other - Last Name:FRANCISCO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/CHT
Mailing Address - Street 1:239 GENESEE ST STE 1
Mailing Address - Street 2:6219 COLEMAN MILLS RD.
Mailing Address - City:CHITTENANGO
Mailing Address - State:NY
Mailing Address - Zip Code:13037-1704
Mailing Address - Country:US
Mailing Address - Phone:315-510-3372
Mailing Address - Fax:315-510-3688
Practice Address - Street 1:239 GENESEE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:CHITTENANGO
Practice Address - State:NY
Practice Address - Zip Code:13037-1704
Practice Address - Country:US
Practice Address - Phone:315-510-3372
Practice Address - Fax:315-510-3688
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008057-1225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1841593423OtherNPI
NY1477782589OtherGROUP NPI
NY6312360001OtherMEDICARE PTAN