Organization
VICAF. INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GBENGA JOHN FALANA PT,DPT,CSST (PHYSICAL THERAPIST)
(718) 414-4588
Entity
Organization
Contact information
Practice address
915 LYNN DR, SUITE 101, VALLEY STREAM, NY 11580
(718) 414-4588
Mailing address
915 LYNN DR STE 101, VALLEY STREAM, NY 11580-1221
(718) 414-4588
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
013411-1
NY
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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