# VICAF. INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801187067
- **Authorized official:** DR. GBENGA JOHN FALANA PT,DPT,CSST (PHYSICAL THERAPIST)
- **Authorized official phone:** (718) 414-4588

## Contact information

- **Practice address:** 915 LYNN DR, SUITE 101, VALLEY STREAM, NY 11580
- **Practice address phone:** (718) 414-4588
- **Mailing address:** 915 LYNN DR STE 101, VALLEY STREAM, NY 11580-1221
- **Mailing address phone:** (718) 414-4588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 013411-1 | NY | Yes |

## Other

- **Enumeration date:** 04/22/2011
- **Last updated:** 04/22/2011