Provider Demographics
NPI:1871632687
Name:FRANZONE, ANDREW JOHN (MD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:JOHN
Last Name:FRANZONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 EAST 82 STREET
Mailing Address - Street 2:20A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7961
Mailing Address - Country:US
Mailing Address - Phone:212-861-3095
Mailing Address - Fax:
Practice Address - Street 1:605 EAST 82 STREET
Practice Address - Street 2:20A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-7961
Practice Address - Country:US
Practice Address - Phone:212-861-3095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0949441208600000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
B20496Medicare UPIN
962051Medicare PIN