Provider Demographics
NPI:1932189172
Name:FRANCO, STEFANO GIACOMO (MD)
Entity Type:Individual
Prefix:DR
First Name:STEFANO
Middle Name:GIACOMO
Last Name:FRANCO
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 1:98 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-3641
Mailing Address - Country:US
Mailing Address - Phone:718-372-0500
Mailing Address - Fax:718-946-1450
Practice Address - Street 1:98 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-3641
Practice Address - Country:US
Practice Address - Phone:718-372-0500
Practice Address - Fax:718-946-1450
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159095207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00861647Medicaid
NY00861647Medicaid
NYWAA311Medicare ID - Type Unspecified
NYA61645Medicare UPIN