1386645091 NPI number — MS. ORA FRENCHAK CRNA

Table of content: MS. ORA FRENCHAK CRNA (NPI 1386645091)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386645091 NPI number — MS. ORA FRENCHAK CRNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRENCHAK
Provider First Name:
ORA
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CRNA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GESHENSKY
Provider Other First Name:
ORA
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1386645091
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/11/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1201 NOTT ST
Provider Second Line Business Mailing Address:
SUITE 106
Provider Business Mailing Address City Name:
SCHENECTADY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12308-2589
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
518-374-3123
Provider Business Mailing Address Fax Number:
518-374-9711

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1201 NOTT ST
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
SCHENECTADY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12308-2589
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
518-374-3123
Provider Business Practice Location Address Fax Number:
518-374-9711
Provider Enumeration Date:
08/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  393650-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5301141 . This is a "GHI HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: X00000 . This is a "AMERICAN PROGRESSIVE TODA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10002421 . This is a "CDPHP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 393650-1 . This is a "TRICARE NORTH REGION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5144V . This is a "EMPIRE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000416894003 . This is a "BLUE SHIELD NENY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4123060 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000416894002 . This is a "BLUE SHIELD NENY" identifier . This identifiers is of the category "OTHER".
  • Identifier: RA1163 . This is a "FIDELIS MEDICARE" identifier . This identifiers is of the category "OTHER".




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