Provider Demographics
NPI:1992846455
Name:FRANCZAK-DEKERT, MONIKA WLADYSLAWA
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:WLADYSLAWA
Last Name:FRANCZAK-DEKERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5425 VALLES AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10471-2557
Mailing Address - Country:US
Mailing Address - Phone:718-543-7240
Mailing Address - Fax:
Practice Address - Street 1:5425 VALLES AVENUE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10471
Practice Address - Country:US
Practice Address - Phone:718-665-7565
Practice Address - Fax:718-665-7595
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028932225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist