MEDICARE: MELINA FRANCOEUR PNP

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	363LP0200X	Pediatric Nurse Practitioner	F382701-1	NY

General Provider Information

NPI Number	:	1518476076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINA FRANCOEUR PNP

Provider Business Mailing Address
First Line	:	1860 STONE AVE
Second Line	:
City	:	EAST MEADOW
State	:	NY
Zip	:	11554-1008
Country	:	US
Telephone Number	:	508-254-3291
Fax Number	:

Provider Business Practice Location Address
First Line	:	297 MARCUS GARVEY BLVD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11221-1114
Country	:	US
Telephone Number	:	718-453-9377
Fax Number	:

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

Provider Enumeration Date	:	09/27/2017
Last Update Date	:	09/27/2017

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