Provider Demographics
NPI:1669594743
Name:SENCION, FRANKLIN (MD)
Entity type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:
Last Name:SENCION
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 1:9320A ROOSEVELT AVE
Mailing Address - Street 2:2ND FL
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372
Mailing Address - Country:US
Mailing Address - Phone:718-404-9109
Mailing Address - Fax:718-404-9117
Practice Address - Street 1:5917 JUNCTION BLVD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368
Practice Address - Country:US
Practice Address - Phone:718-404-9109
Practice Address - Fax:718-334-6277
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY232414208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02006802Medicaid