Provider Demographics
NPI:1447664735
Name:FALZONE, TIFFANI (LMT)
Entity type:Individual
Prefix:
First Name:TIFFANI
Middle Name:
Last Name:FALZONE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ROUTE 376
Mailing Address - Street 2:SUITE 9C
Mailing Address - City:HOPEWELL JCT
Mailing Address - State:NY
Mailing Address - Zip Code:12533-7211
Mailing Address - Country:US
Mailing Address - Phone:845-226-8229
Mailing Address - Fax:
Practice Address - Street 1:5 ROUTE 376
Practice Address - Street 2:SUITE 9C
Practice Address - City:HOPEWELL JCT
Practice Address - State:NY
Practice Address - Zip Code:12533-7211
Practice Address - Country:US
Practice Address - Phone:845-226-8229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0277871174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist