Healthcare Provider Details

I. General information

NPI: 1497827760
Provider Name (Legal Business Name): MATHIEU FRANCOIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 06/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2905 AVENUE D
BROOKLYN NY
11226-7805
US

IV. Provider business mailing address

2905 AVENUE D
BROOKLYN NY
11226-7805
US

V. Phone/Fax

Practice location:
  • Phone: 718-826-6668
  • Fax:
Mailing address:
  • Phone: 718-826-6668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number195743
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number195743
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: