MEDICARE: KASHIERA FRANKLYN

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	171M00000X	Case Manager/Care Coordinator

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	810439529	OTHER	NY	EARLY INTERVENTION

General Provider Information

NPI Number	:	1821524695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASHIERA FRANKLYN

Provider Business Mailing Address
First Line	:	1638 EASTERN PKWY APT 2
Second Line	:	APT 2
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4804
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1638 EASTERN PKWY APT 2
Second Line	:	APT 2
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4804
Country	:	US
Telephone Number	:	347-300-9172
Fax Number	:

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

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	05/11/2017

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