Basic Information
Provider Information
NPI: 1982238697
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HRASKA
FirstName: FRANCESCA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24665 57TH DR
Address2:  
City: LITTLE NECK
State: NY
PostalCode: 113621916
CountryCode: US
TelephoneNumber: 5166408101
FaxNumber:  
Practice Location
Address1: 5645 MAIN ST
Address2:  
City: FLUSHING
State: NY
PostalCode: 113555045
CountryCode: US
TelephoneNumber: 7186701800
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/03/2020
LastUpdateDate: 03/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000X  Y Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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