Healthcare Provider Details

I. General information

NPI: 1598820052
Provider Name (Legal Business Name): FRANCIS JOSEPH PRAEL JR. FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CROSS RIVER RD
KATONAH NY
10536-3549
US

IV. Provider business mailing address

231 JUDSON AVE
DOBBS FERRY NY
10522-3030
US

V. Phone/Fax

Practice location:
  • Phone: 914-763-8151
  • Fax: 914-763-8151
Mailing address:
  • Phone: 914-693-0242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF331243-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: