Organization
FRAN-MAR COLLISION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO FAVALE (VICE PRESIDENT)
(718) 447-6422
Entity
Organization
Contact information
Practice address
115 JEWETT AVE, STATEN ISLAND, NY 10302-1542
(718) 447-6422
(718) 876-0542
Mailing address
115 JEWETT AVE, STATEN ISLAND, NY 10302-1542
(718) 447-6422
(718) 876-0542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
7061483
NY
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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