Provider Demographics
NPI:1366449332
Name:FALCONE, JOSEPH P (MD, DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:FALCONE
Suffix:
Gender:M
Credentials:MD, DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 SPINDRIFT DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7800
Mailing Address - Country:US
Mailing Address - Phone:716-632-1212
Mailing Address - Fax:716-632-3012
Practice Address - Street 1:55 SPINDRIFT DR
Practice Address - Street 2:SUITE 120
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7800
Practice Address - Country:US
Practice Address - Phone:716-632-1212
Practice Address - Fax:716-632-3012
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210531207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400060863Medicare PIN
NYG76060Medicare UPIN
NYRA2488Medicare ID - Type Unspecified