Individual
CAROLE FALLETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7814
(516) 674-7821
Mailing address
101 SAINT ANDREWS LN, GLEN COVE, NY 11542-2254
(516) 674-7814
(516) 674-7821
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F335199
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402361
NY
Other
Enumeration date
10/09/2012
Last updated
11/13/2019
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