Provider Demographics
NPI:1922215888
Name:AYASO, FRANCISCO (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:
Last Name:AYASO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:AYASO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:833 BLOOMING GROVE TPKE
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-8102
Mailing Address - Country:US
Mailing Address - Phone:914-924-4348
Mailing Address - Fax:845-827-5082
Practice Address - Street 1:833 BLOOMING GROVE TPKE
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-8102
Practice Address - Country:US
Practice Address - Phone:914-924-4348
Practice Address - Fax:845-827-5082
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006142213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP0788Medicare PIN