Healthcare Provider Details
I. General information
NPI: 1518733500
Provider Name (Legal Business Name): FRANCIS LOVECCHIO MEDICAL PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/30/2023
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
541 E 71ST ST
NEW YORK NY
10021-4871
US
IV. Provider business mailing address
PO BOX 12264
HAUPPAUGE NY
11788-0875
US
V. Phone/Fax
- Phone: 212-774-2837
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0117X |
| Taxonomy | Orthopaedic Surgery of the Spine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
FRANCIS
LOVECCHIO
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 570-337-5174