Healthcare Provider Details

I. General information

NPI: 1417271354
Provider Name (Legal Business Name): ANDREW J. FRANZONE, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2010
Last Update Date: 03/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 EAST 82 STREET APT 20A
NEW YORK NY
10028-7961
US

IV. Provider business mailing address

605 EAST 82 STREET APT 20A
NEW YORK NY
10028-7961
US

V. Phone/Fax

Practice location:
  • Phone: 212-861-3095
  • Fax:
Mailing address:
  • Phone: 212-861-3095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number0949441
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number0949441
License Number StateNY

VIII. Authorized Official

Name: ANDREW JOHN FRANZONE
Title or Position: PRESIDENT
Credential: MD
Phone: 212-861-3095