Basic Information
Provider Information
NPI: 1598820052
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PRAEL
FirstName: FRANCIS
MiddleName: JOSEPH
NamePrefix: MR.
NameSuffix: JR.
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 231 JUDSON AVE
Address2:  
City: DOBBS FERRY
State: NY
PostalCode: 105223030
CountryCode: US
TelephoneNumber: 9146930242
FaxNumber:  
Practice Location
Address1: 800 CROSS RIVER RD
Address2:  
City: KATONAH
State: NY
PostalCode: 105363549
CountryCode: US
TelephoneNumber: 9147638151
FaxNumber: 9147638151
Other Information
ProviderEnumerationDate: 12/26/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XF331243-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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