Basic Information
| Provider Information | |||||||||
| NPI: | 1922082742 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANCOMANO | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | JOHN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 254 CHURCH ST | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | SARATOGA SPRINGS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128661076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185878400 | ||||||||
| FaxNumber: | 5185874155 | ||||||||
| Practice Location | |||||||||
| Address1: | 254 CHURCH ST | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | SARATOGA SPRINGS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128661076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185878400 | ||||||||
| FaxNumber: | 5185874155 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/05/2005 | ||||||||
| LastUpdateDate: | 01/27/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 1432731 | NY | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
ID Information
| ID | Type | State | Issuer | Description | 00762267 | 05 | NY | MEDICAID |