Provider Demographics
NPI:1437497351
Name:FALVO, KENNETH ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:ANTHONY
Last Name:FALVO
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 1:8 EDMARTH PL
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1402
Mailing Address - Country:US
Mailing Address - Phone:917-254-9686
Mailing Address - Fax:
Practice Address - Street 1:8 EDMARTH PL
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1402
Practice Address - Country:US
Practice Address - Phone:917-254-9686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105071207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery