Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 118576 | NY |
NPI | 1265467328 |
---|---|
Provider Name | Mr. Francisco Javier Monreal |
First Address | Syracuse, NY 13205-2341 |
Second Address | Syracuse, NY 13205-2341 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00539946 | (05) | NY |
B81568 | (02) |