Healthcare Provider Details

I. General information

NPI: 1205004629
Provider Name (Legal Business Name): KEREN HAPPUC FRANCOIS RPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2008
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

592 ROCKAWAY AVE
BROOKLYN NY
11212-5539
US

IV. Provider business mailing address

9939 ALBERT RD
OZONE PARK NY
11417-3038
US

V. Phone/Fax

Practice location:
  • Phone: 718-345-5000
  • Fax: 718-346-6747
Mailing address:
  • Phone: 347-603-2524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number593801
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: