Provider Demographics
NPI:1033615430
Name:FALCONE, DANA JOSEPHINE (LCGC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:JOSEPHINE
Last Name:FALCONE
Suffix:
Gender:F
Credentials:LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DUNKIN DR
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1018
Mailing Address - Country:US
Mailing Address - Phone:215-779-8467
Mailing Address - Fax:
Practice Address - Street 1:3930 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3111
Practice Address - Country:US
Practice Address - Phone:267-581-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-04
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAGC000208170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS