Provider Demographics
NPI:1356318554
Name:FALESTINY, HANY NASSIF (MD)
Entity Type:Individual
Prefix:
First Name:HANY
Middle Name:NASSIF
Last Name:FALESTINY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3221 SW 33RD RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474
Mailing Address - Country:US
Mailing Address - Phone:352-237-7355
Mailing Address - Fax:352-237-8441
Practice Address - Street 1:3221 SW 33RD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474
Practice Address - Country:US
Practice Address - Phone:352-237-7355
Practice Address - Fax:352-237-8441
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63082207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
290010730OtherRAILROAD MEDICARE
FL376332300Medicaid
FL25592OtherBLUE CROSS BLUE SHIELD
0005015231OtherAETNA
290010730OtherRAILROAD MEDICARE
25592XMedicare ID - Type Unspecified