Healthcare Provider Details
I. General information
NPI: 1588674592
Provider Name (Legal Business Name): THOMAS CHRISTOPHER FRANCHINI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/09/2006
Last Update Date: 07/07/2021
Certification Date: 07/07/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2015 GRAND CONCOURSE
BRONX NY
10453-4303
US
IV. Provider business mailing address
1434 WILLIAMSBRIDGE RD FL 2
BRONX NY
10461-2507
US
V. Phone/Fax
- Phone: 718-618-0401
- Fax:
- Phone: 718-618-0401
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 000937 |
| License Number State | CT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | POD1041 |
| License Number State | ME |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | N004820 |
| License Number State | NY |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | 004820 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: