Healthcare Provider Details

I. General information

NPI: 1427936228
Provider Name (Legal Business Name): FRANCKINE PAYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANCKINE PAYEN

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 MADISON ST
SYRACUSE NY
13210-2338
US

IV. Provider business mailing address

620 MADISON ST
SYRACUSE NY
13210-2338
US

V. Phone/Fax

Practice location:
  • Phone: 315-426-3605
  • Fax:
Mailing address:
  • Phone: 315-426-3605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License NumberN00907
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberN00907
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: