Provider Demographics
NPI:1699885913
Name:PASSARELLI, FRANCESCO (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCESCO
Middle Name:
Last Name:PASSARELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11110 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2322
Mailing Address - Country:US
Mailing Address - Phone:718-847-2688
Mailing Address - Fax:516-599-2185
Practice Address - Street 1:11110 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2322
Practice Address - Country:US
Practice Address - Phone:718-847-2688
Practice Address - Fax:718-847-2627
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06173Medicare PIN
NYG01008Medicare UPIN