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Individual

DR. FORTUNATO S DIFRANCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
INTERNAL MEDICINE

Contact information

Practice address
7506 LIBERTY AVE, OZONE PARK, NY 11417-1034
(718) 848-9100
(718) 848-1114
Mailing address
7506 LIBERTY AVE, OZONE PARK, NY 11417-1034
(718) 848-9100
(718) 848-1114

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
167562
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00974305
NY
Enumeration date
12/15/2005
Last updated
02/21/2013
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