Provider Demographics
NPI:1346570876
Name:FALCON PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:FALCON PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUDERER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:716-298-9390
Mailing Address - Street 1:7300 PORTER RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-5716
Mailing Address - Country:US
Mailing Address - Phone:716-298-9390
Mailing Address - Fax:716-298-9391
Practice Address - Street 1:7300 PORTER RD
Practice Address - Street 2:SUITE 3
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-5716
Practice Address - Country:US
Practice Address - Phone:716-298-9390
Practice Address - Fax:716-298-9391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026371225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty