Healthcare Provider Details

I. General information

NPI: 1144209610
Provider Name (Legal Business Name): JEAN DANIEL FRANCOIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2006
Last Update Date: 03/16/2009
Certification Date:
Deactivation Date: 07/17/2007
Reactivation Date: 07/30/2007

III. Provider practice location address

1713-19 RALPH AVENUE
BROOKLYN NY
11236
US

IV. Provider business mailing address

1713-19 RALPH AVENUE
BROOKLYN NY
11236
US

V. Phone/Fax

Practice location:
  • Phone: 718-531-6100
  • Fax: 718-531-2329
Mailing address:
  • Phone: 718-531-6100
  • Fax: 718-531-2329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number1973296
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number1973296
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: