Provider Demographics
NPI:1922084763
Name:FRANCISCO, DALMACIO HONASAN (MD)
Entity Type:Individual
Prefix:
First Name:DALMACIO
Middle Name:HONASAN
Last Name:FRANCISCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DALMACIO
Other - Middle Name:HONASAN
Other - Last Name:FRANCISCO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8420 169TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2034
Mailing Address - Country:US
Mailing Address - Phone:718-206-3787
Mailing Address - Fax:718-729-3780
Practice Address - Street 1:4528 21ST ST
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-5220
Practice Address - Country:US
Practice Address - Phone:718-729-3760
Practice Address - Fax:718-729-3780
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200393207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine