# FALCON MEDICAL INC

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

## Provider details

- **NPI number:** 1871011304
- **Authorized official:** DONNA KHALIL (CEO)
- **Authorized official phone:** (718) 450-2633

## Contact information

- **Practice address:** 46A GRISSOM AVE, STATEN ISLAND, NY 10314-4974
- **Practice address phone:** (718) 761-0297
- **Practice address fax:** (718) 761-0297
- **Mailing address:** 46A GRISSOM AVE, STATEN ISLAND, NY 10314-4974
- **Mailing address phone:** (718) 761-0297
- **Mailing address fax:** (718) 761-0297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NULL | Yes |
| 171W00000X | Contractor | — | — | Yes |

## Other

- **Enumeration date:** 09/05/2017
- **Last updated:** 07/21/2022