Organization
FRANCIS DEFALCO DENT CL DISB
Active
Organization
FRANCIS DEFALCO DENT CL DISB
Active
Other names
BFFY- DEFALCO DENTAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA CORRADO (CHIEF OPERATING OFFICER)
(718) 722-6123
Entity
Organization
Contact information
Practice address
11-29 CATHERINE STR, BROOKLYN, NY 11211
(718) 388-5900
(718) 388-3927
Mailing address
191 JORALEMON ST, 9 FL, BROOKLYN, NY 11201
(718) 722-6219
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00290822
—
NY
Enumeration date
02/16/2007
Last updated
08/22/2020
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