MEDICARE: TIFFANI FALZONE LMT

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	174400000X	Specialist	0277871	NY

General Provider Information

NPI Number	:	1447664735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANI FALZONE LMT

Provider Business Mailing Address
First Line	:	5 ROUTE 376
Second Line	:	SUITE 9C
City	:	HOPEWELL JCT
State	:	NY
Zip	:	12533-7211
Country	:	US
Telephone Number	:	845-226-8229
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 ROUTE 376
Second Line	:	SUITE 9C
City	:	HOPEWELL JCT
State	:	NY
Zip	:	12533-7211
Country	:	US
Telephone Number	:	845-226-8229
Fax Number	:

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

Provider Enumeration Date	:	06/16/2014
Last Update Date	:	06/16/2014

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Directions to “ TIFFANI FALZONE LMT” Practice Location

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