Healthcare Provider Details

I. General information

NPI: 1093012742
Provider Name (Legal Business Name): FRANCINE LEWIS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2011
Last Update Date: 02/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 E 21ST ST 1B
BROOKLYN NY
11226-3944
US

IV. Provider business mailing address

363 E 21ST ST 1B
BROOKLYN NY
11226-3944
US

V. Phone/Fax

Practice location:
  • Phone: 646-657-6980
  • Fax:
Mailing address:
  • Phone: 646-657-6980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number578736
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number578736
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number578736
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number578736
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: