Healthcare Provider Details

I. General information

NPI: 1922361666
Provider Name (Legal Business Name): ANA MARIJA FRANCESCHI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2012
Last Update Date: 04/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 COMMUNITY DR
MANHASSET NY
11030-3816
US

IV. Provider business mailing address

40 E 65TH ST APT 4F
NEW YORK NY
10065-7024
US

V. Phone/Fax

Practice location:
  • Phone: 516-823-8888
  • Fax: 516-823-8048
Mailing address:
  • Phone: 631-880-8686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085D0003X
TaxonomyDiagnostic Neuroimaging (Radiology) Physician
License Number288673
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number288673
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number288673
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code2085N0700X
TaxonomyNeuroradiology Physician
License Number288673
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: