Provider Demographics
NPI:1720230006
Name:FALCO, VIVIAN E (PT)
Entity Type:Individual
Prefix:MS
First Name:VIVIAN
Middle Name:E
Last Name:FALCO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 OLD LOGGING RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-1604
Mailing Address - Country:US
Mailing Address - Phone:914-764-4988
Mailing Address - Fax:914-764-5011
Practice Address - Street 1:71 OLD LOGGING RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NY
Practice Address - Zip Code:10506-1604
Practice Address - Country:US
Practice Address - Phone:914-764-4988
Practice Address - Fax:914-764-5011
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005521-1225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics