Provider Demographics
NPI:1881801652
Name:CLIFTON, FRANCIS X (CSW)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:X
Last Name:CLIFTON
Suffix:
Gender:M
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1717
Mailing Address - Country:US
Mailing Address - Phone:212-534-4373
Mailing Address - Fax:
Practice Address - Street 1:1234 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1717
Practice Address - Country:US
Practice Address - Phone:212-534-4373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR020604-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN33941Medicare ID - Type Unspecified