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General NPI Number Information
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NPI Number | 1477555415
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Entity Type | Individual
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Provider Name | OVIDIO JOSEPH FALCONE DPM, FACFAS
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Gender | Male
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 3501 30TH AVE
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City | ASTORIA
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State | NY
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Zip | 11103-4662
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Country | US
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Telephone | 718-721-9292
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Fax | 718-721-3222
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Provider Business Mailing Address
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Address Line | 136 EUCLID AVE
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City | ARDSLEY
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State | NY
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Zip | 10502-2503
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Country | US
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Telephone | 914-674-1109
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Fax | 718-721-3222
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N-004171
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License Number State | NY
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