Doctor Name: | MS. FRANTZCHESCA DECADE |
NPI Number: | 1164759668 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 6076111 |
Business Practice Address: | 941 Old Town Rd Coram, NY - 117271108 |
Business Phone Number: | 4074308140 |
Business Fax Number: | |
Mailing Address: | 21 Winfield Davis Dr, CORAM |
State: | NY |
Postal Code: | 117273558 |
Phone Number: | 4074308140 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2009 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WN0002X |
License Number: | 6076111 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Neonatal Intensive Care |
Taxonomy Definition: |