Provider Demographics
NPI:1962890517
Name:FRANCIAMORE, GINA M (LPN)
Entity type:Individual
Prefix:MS
First Name:GINA
Middle Name:M
Last Name:FRANCIAMORE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 OLD WILMOT RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-6162
Mailing Address - Country:US
Mailing Address - Phone:914-804-2395
Mailing Address - Fax:914-725-7758
Practice Address - Street 1:183 OLD WILMOT RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-6162
Practice Address - Country:US
Practice Address - Phone:914-804-2395
Practice Address - Fax:914-725-7758
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY241163164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse