Individual
ANTONIO FRANCO DIVANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
4327 192ND ST, FLUSHING, NY 11358-3431
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
035224
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2026
Last updated
03/30/2026
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