Provider Demographics
NPI:1295848976
Name:FALCONE, JEFFREY JOSEPH (DPM)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:JOSEPH
Last Name:FALCONE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 LYNCROFT RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-4122
Mailing Address - Country:US
Mailing Address - Phone:212-838-4151
Mailing Address - Fax:212-838-4152
Practice Address - Street 1:30 E 60TH ST RM 1503
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1487
Practice Address - Country:US
Practice Address - Phone:212-838-4151
Practice Address - Fax:212-838-4152
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2022-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004972213ES0103X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1525846Medicaid
NYP60021Medicare PIN
NYU35174Medicare UPIN
NY07660Medicare PIN