Basic Information
Provider Information
NPI: 1003125956
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANCIS
FirstName: VIKKI
MiddleName: AMINER
NamePrefix:  
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 955 YONKERS AVE
Address2: STE 109
City: YONKERS
State: NY
PostalCode: 107043060
CountryCode: US
TelephoneNumber: 9147767310
FaxNumber: 9147767566
Practice Location
Address1: 1554 ASTOR AVE
Address2:  
City: BRONX
State: NY
PostalCode: 104696424
CountryCode: US
TelephoneNumber: 7186523432
FaxNumber: 7186525107
Other Information
ProviderEnumerationDate: 09/27/2010
LastUpdateDate: 03/05/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X032981-1NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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