MEDICARE: GARY FRANCO

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	122300000X	Dentist	041056	NY

General Provider Information

NPI Number	:	1235115379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY FRANCO

Provider Business Mailing Address
First Line	:	1610 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3129
Country	:	US
Telephone Number	:	718-444-8484
Fax Number	:	718-444-8484

Provider Business Practice Location Address
First Line	:	1610 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-3129
Country	:	US
Telephone Number	:	718-444-8484
Fax Number	:	718-444-8484

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	10/21/2013

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Directions to “ GARY FRANCO ” Practice Location

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