MEDICARE: DALMACIO H. FRANCISCO M.D., PC

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	207R00000X	Internal Medicine Physician	200393	NY

General Provider Information

NPI Number	:	1578724100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DALMACIO H. FRANCISCO M.D., PC

Provider Business Mailing Address
First Line	:	8420 169TH ST
Second Line	:	JAMAICA HILLS
City	:	JAMAICA
State	:	NY
Zip	:	11432-2034
Country	:	US
Telephone Number	:	347-575-8820
Fax Number	:

Provider Business Practice Location Address
First Line	:	4528 21ST ST
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-5212
Country	:	US
Telephone Number	:	347-575-8850
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DALMACIO HONASAN FRANCISCO
Credential	:	M.D.
Telephone Number	:	347-575-8820

Provider Enumeration Date	:	06/17/2008
Last Update Date	:	06/17/2008

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