MEDICARE: MS. NICOLE EVELYN FALCONE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	035295	NY

General Provider Information

NPI Number	:	1508718123
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NICOLE EVELYN FALCONE PA-C

Provider Business Mailing Address
First Line	:	16 TORLEN CT
Second Line	:
City	:	HAUPPAUGE
State	:	NY
Zip	:	11788-2616
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	618 BROADWAY
Second Line	:
City	:	AMITYVILLE
State	:	NY
Zip	:	11701-2124
Country	:	US
Telephone Number	:	516-691-6000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2026
Last Update Date	:	02/14/2026

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