MEDICARE: CIELO IRENE FRANCISCO

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	2251X0800X	Orthopedic Physical Therapist	046696	NY

General Provider Information

NPI Number	:	1447946967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CIELO IRENE FRANCISCO

Provider Business Mailing Address
First Line	:	186 LENOX RD APT 5H
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-2692
Country	:	US
Telephone Number	:	917-936-8559
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 SAINT NICHOLAS AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-4840
Country	:	US
Telephone Number	:	718-821-9511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2023
Last Update Date	:	04/17/2023

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Directions to “ CIELO IRENE FRANCISCO ” Practice Location

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