Provider Demographics
NPI:1811910474
Name:FRANKLIN, ANTOINETTE (MS, RD)
Entity type:Individual
Prefix:MRS
First Name:ANTOINETTE
Middle Name:
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6121 169TH ST
Mailing Address - Street 2:APT 1
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-1973
Mailing Address - Country:US
Mailing Address - Phone:718-961-8096
Mailing Address - Fax:
Practice Address - Street 1:130 WEST KINGSBRIDGE RD
Practice Address - Street 2:JAMES J PETERS VA MEDICAL CENTER (MAILCODE 120)
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468
Practice Address - Country:US
Practice Address - Phone:718-584-9000
Practice Address - Fax:718-741-4238
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered