Individual
ANGELICA FALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 TOPAZ DR, LAKE RONKONKOMA, NY 11779-4568
(631) 624-2042
Mailing address
8 TOPAZ DR, LAKE RONKONKOMA, NY 11779-4568
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308290
NY
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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