Provider Demographics
NPI:1366918500
Name:FRANKLIN PRIMARY CARE LLC
Entity type:Organization
Organization Name:FRANKLIN PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANN MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-247-6828
Mailing Address - Street 1:225 NASSAU BLVD # B
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2247
Mailing Address - Country:US
Mailing Address - Phone:516-247-6828
Mailing Address - Fax:516-247-6828
Practice Address - Street 1:225 NASSAU BLVD # B
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2247
Practice Address - Country:US
Practice Address - Phone:516-650-1067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-15
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care