MEDICARE: GARY H FRANCO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	122300000X	Dentist

General Provider Information

NPI Number	:	1033540885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARY H FRANCO

Provider Business Mailing Address
First Line	:	1610 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3129
Country	:	US
Telephone Number	:	718-444-8484
Fax Number	:

Provider Business Practice Location Address
First Line	:	1610 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3129
Country	:	US
Telephone Number	:	718-444-8484
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	GARY H FRANCO
Credential	:
Telephone Number	:	718-444-8484

Provider Enumeration Date	:	12/04/2013
Last Update Date	:	12/04/2013

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Directions to “GARY H FRANCO ” Practice Location

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