Healthcare Provider Details

I. General information

NPI: 1730332024
Provider Name (Legal Business Name): FRANCISCO JOSE GONZALEZ FRANCO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E 149TH ST
BRONX NY
10451-5504
US

IV. Provider business mailing address

740 W 187TH ST APT 2H
NEW YORK NY
10033-1206
US

V. Phone/Fax

Practice location:
  • Phone: 212-579-5898
  • Fax:
Mailing address:
  • Phone: 212-740-5879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number250889
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number250889
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number250889
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: