Individual
AMANDA ANTOINETTE FALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4143 HYLAN BLVD, STATEN ISLAND, NY 10308-3308
(718) 233-1300
Mailing address
4143 HYLAN BLVD, STATEN ISLAND, NY 10308-3308
(718) 233-1300
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
020070
NY
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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