Provider Demographics
NPI:1023384047
Name:FALCONE, JUDEE (RN)
Entity Type:Individual
Prefix:
First Name:JUDEE
Middle Name:
Last Name:FALCONE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GROVELAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUND BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11789-2541
Mailing Address - Country:US
Mailing Address - Phone:631-849-2450
Mailing Address - Fax:
Practice Address - Street 1:3 GROVELAND PARK BLVD
Practice Address - Street 2:
Practice Address - City:SOUND BEACH
Practice Address - State:NY
Practice Address - Zip Code:11789-2541
Practice Address - Country:US
Practice Address - Phone:631-849-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY592108163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse