Healthcare Provider Details

I. General information

NPI: 1750832663
Provider Name (Legal Business Name): DINA FRANCHI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2016
Last Update Date: 10/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 E 17TH ST FL 1
NEW YORK NY
10003-3804
US

IV. Provider business mailing address

317 E 17TH ST FL 1
NEW YORK NY
10003-3804
US

V. Phone/Fax

Practice location:
  • Phone: 212-420-2307
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number038499-R
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: