Healthcare Provider Details

I. General information

NPI: 1033141387
Provider Name (Legal Business Name): FRANCIS O. IPAYE PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 12/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 388
MOUNT VERNON NY
10551-0388
US

IV. Provider business mailing address

PO BOX 581
MOUNT VERNON NY
10552-0581
US

V. Phone/Fax

Practice location:
  • Phone: 718-655-6200
  • Fax: 718-655-6201
Mailing address:
  • Phone: 718-655-6200
  • Fax: 718-655-6201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number022309
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: