Individual
MR. LARRY FALCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6707 SELFRIDGE ST # PVT, FOREST HILLS, NY 11375-5756
(917) 617-3868
Mailing address
6707 SELFRIDGE ST, FOREST HILLS, NY 11375-5756
(917) 617-3868
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
486942
NY
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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