Provider Demographics
NPI:1932306750
Name:FRAN-MAR COLLISION
Entity Type:Organization
Organization Name:FRAN-MAR COLLISION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:FAVALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-447-6422
Mailing Address - Street 1:115 JEWETT AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10302-1542
Mailing Address - Country:US
Mailing Address - Phone:718-447-6422
Mailing Address - Fax:718-876-0542
Practice Address - Street 1:115 JEWETT AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10302-1542
Practice Address - Country:US
Practice Address - Phone:718-447-6422
Practice Address - Fax:718-876-0542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7061483332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies