MEDICARE: JULIO ANGEL FRANCESCHI

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	101YA0400X	Addiction (Substance Use Disorder) Counselor		NY

General Provider Information

NPI Number	:	1518248160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIO ANGEL FRANCESCHI

Provider Business Mailing Address
First Line	:	1893 ANDREWS AVE APT 1E
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10453-5246
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 REMSEN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4333
Country	:	US
Telephone Number	:	718-858-4050
Fax Number	:	718-858-4137

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

Provider Enumeration Date	:	09/08/2011
Last Update Date	:	09/27/2011

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