MEDICARE: FALANTE SIMEON

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F408164	NY
2	163W00000X	Registered Nurse	781153	NY
3	164W00000X	Licensed Practical Nurse	301555	NY

General Provider Information

NPI Number	:	1740717206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FALANTE SIMEON

Provider Business Mailing Address
First Line	:	3 MOUNT EBO RD N #191
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509
Country	:	US
Telephone Number	:	914-893-8385
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 MOUNT EBO RD N #191
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509
Country	:	US
Telephone Number	:	914-893-8385
Fax Number	:

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

Provider Enumeration Date	:	05/16/2017
Last Update Date	:	05/19/2026

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Directions to “ FALANTE SIMEON ” Practice Location

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