MEDICARE: DR. FRANCINE ANN DOTI O.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	152W00000X	Optometrist	T005841	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760524862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCINE ANN DOTI O.D.

Provider Business Mailing Address
First Line	:	17 MINNA ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10304-4108
Country	:	US
Telephone Number	:	718-668-1416
Fax Number	:

Provider Business Practice Location Address
First Line	:	2167 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3205
Country	:	US
Telephone Number	:	718-946-3647
Fax Number	:

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/08/2007

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