Healthcare Provider Details
I. General information
NPI: 1982238697
Provider Name (Legal Business Name): FRANCESCA HRASKA RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/03/2020
Last Update Date: 03/03/2020
Certification Date: 03/03/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5645 MAIN ST
FLUSHING NY
11355-5045
US
IV. Provider business mailing address
24665 57TH DR
LITTLE NECK NY
11362-1916
US
V. Phone/Fax
- Phone: 718-670-1800
- Fax:
- Phone: 516-640-8101
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: