Provider Demographics
NPI:1063271955
Name:MOLLICA, FRANCESCA
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:MOLLICA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 WAGONWHEEL RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07422-1128
Mailing Address - Country:US
Mailing Address - Phone:845-702-5027
Mailing Address - Fax:
Practice Address - Street 1:11 WAGONWHEEL RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07422-1128
Practice Address - Country:US
Practice Address - Phone:845-702-5027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist