Healthcare Provider Details

I. General information

NPI: 1689869737
Provider Name (Legal Business Name): FEMI A FRANCIS DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 09/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

418 BAINBRIDGE ST
BROOKLYN NY
11233-2314
US

IV. Provider business mailing address

1824 MADISON AVE
NEW YORK NY
10035-3832
US

V. Phone/Fax

Practice location:
  • Phone: 718-455-5485
  • Fax:
Mailing address:
  • Phone: 212-423-4500
  • Fax: 646-770-8405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number006009
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: