Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LG0600X | Nurse Practitioner - Gerontology | F340840-01 | NY |
NPI | 1083020325 |
---|---|
Provider Name | Keithroy Francis |
First Address | Brooklyn, NY 11203-6531 |
Second Address | Brooklyn, NY 11203-6531 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2014 |
Last Update Date | 08/07/2014 |