MEDICARE: DR. PETER GABRIEL LAFRANCA PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	057071	NY

General Provider Information

NPI Number	:	1043568678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER GABRIEL LAFRANCA PHARM.D.

Provider Business Mailing Address
First Line	:	16334 91ST ST
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-3724
Country	:	US
Telephone Number	:	917-496-3056
Fax Number	:

Provider Business Practice Location Address
First Line	:	15814 CROSSBAY BLVD
Second Line	:
City	:	HOWARD BEACH
State	:	NY
Zip	:	11414-3136
Country	:	US
Telephone Number	:	718-659-9500
Fax Number	:	718-659-9100

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2012
Last Update Date	:	08/29/2012

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