MEDICARE: GENEVIVE FALCONI MD

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	208000000X	Pediatrics Physician	35078443F	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427143080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVIVE FALCONI MD

Provider Business Mailing Address
First Line	:	6000 WEST CREEK RD
Second Line	:	SUITE 10
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2139
Country	:	US
Telephone Number	:	216-986-1314
Fax Number	:	216-986-1191

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44131-2139
Country	:	US
Telephone Number	:	800-223-2273
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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Directions to “ GENEVIVE FALCONI MD” Practice Location

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