Provider Demographics
NPI:1881812899
Name:FRENCH, FRANCIS DAVID
Entity type:Individual
Prefix:
First Name:FRANCIS DAVID
Middle Name:
Last Name:FRENCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3164 21ST ST
Mailing Address - Street 2:APARTMENT 3B
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4573
Mailing Address - Country:US
Mailing Address - Phone:845-664-0364
Mailing Address - Fax:718-236-1055
Practice Address - Street 1:3164 21ST ST
Practice Address - Street 2:APARTMENT 3B
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-4573
Practice Address - Country:US
Practice Address - Phone:845-664-0364
Practice Address - Fax:718-236-1055
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029372-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist