MEDICARE: MS. FRANCISCA DE ISAAC R N

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	163W00000X	Registered Nurse	498627	NY

General Provider Information

NPI Number	:	1457627952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FRANCISCA DE ISAAC R N

Provider Business Mailing Address
First Line	:	14726 SPRINGFIELD LN
Second Line	:
City	:	SPRINGFIELD GARDENS
State	:	NY
Zip	:	11413-4149
Country	:	US
Telephone Number	:	718-996-9531
Fax Number	:	718-996-5095

Provider Business Practice Location Address
First Line	:	2929 W 30TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-1701
Country	:	US
Telephone Number	:	718-996-9531
Fax Number	:	718-996-5095

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

Provider Enumeration Date	:	03/29/2012
Last Update Date	:	03/29/2012

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