Basic Information
Provider Information | |||||||||
NPI: | 1710963426 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | FRANCELLA | ||||||||
FirstName: | ANDREW | ||||||||
MiddleName: | PAUL | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 210 WESTCHESTER AVE | ||||||||
Address2: | 3RD FLOOR | ||||||||
City: | WHITE PLAINS | ||||||||
State: | NY | ||||||||
PostalCode: | 106042901 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9146813146 | ||||||||
FaxNumber: | 9146826403 | ||||||||
Practice Location | |||||||||
Address1: | 210 WESTCHESTER AVE | ||||||||
Address2: |   | ||||||||
City: | WHITE PLAINS | ||||||||
State: | NY | ||||||||
PostalCode: | 106042901 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9146826466 | ||||||||
FaxNumber: | 9146826403 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 12/15/2005 | ||||||||
LastUpdateDate: | 10/16/2013 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 203833 | NY | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 207RG0100X | 041827 | CT | N |   | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
ID | Type | State | Issuer | Description | 100016831 | 01 | NY | RAILROAD MEDICARE | OTHER | 133884168 | 01 | NY | PHCS | OTHER | 133884168 | 01 | NY | EMPIRE STATE PLAN (NYS) | OTHER | 133884168 | 01 | NY | MULTIPLAN | OTHER | 000000067795 | 01 | NY | GHI HMO | OTHER | 2974236 | 01 | NY | AETNA HMO | OTHER | 3V489/3V9851 | 01 | NY | BLUE CROSS PPO | OTHER | 133884168 | 01 | NY | POMCO | OTHER | 2499408 | 01 | NY | GHI PPO | OTHER | 204833 | 01 | NY | CONNECTICARE | OTHER | 0214233-1 | 01 | NY | CIGNA SPECIALTY | OTHER | 4C2085 | 01 | NY | HEALTH NET | OTHER | 7208393 | 01 | NY | AETNA NON HMO | OTHER | 02271061 | 05 | NY |   | MEDICAID | 133884168 | 01 | NY | BEECH STREET | OTHER | 204833-8W - IM | 01 | NY | WORKDERS COMPENSATION | OTHER | 2173172 | 01 | NY | 2173172 | OTHER | P2616105 | 01 | NY | OXFORD | OTHER |