Healthcare Provider Details

I. General information

NPI: 1598188773
Provider Name (Legal Business Name): LEOLA FRANKLIN MS.ED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2014
Last Update Date: 01/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1069 NEW JERSEY AVE
BROOKLYN NY
11207-9045
US

IV. Provider business mailing address

P.O. BOX 340395
BROOKLYN NY
11234
US

V. Phone/Fax

Practice location:
  • Phone: 347-355-7311
  • Fax:
Mailing address:
  • Phone: 347-355-7311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: