Healthcare Provider Details

I. General information

NPI: 1538449293
Provider Name (Legal Business Name): FRANCIA HOLGADO DE VERA MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2011
Last Update Date: 08/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 CLINTON ST
HEMPSTEAD NY
11550-4211
US

IV. Provider business mailing address

95 CLINTON ST
HEMPSTEAD NY
11550-4211
US

V. Phone/Fax

Practice location:
  • Phone: 516-280-2022
  • Fax: 516-280-7725
Mailing address:
  • Phone: 516-280-2022
  • Fax: 516-280-7725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCIA H DE VERA
Title or Position: OWNER
Credential: MD
Phone: 516-280-2022