Provider Demographics
NPI:1770658882
Name:FALCHOOK, ANNET ELLA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNET
Middle Name:ELLA
Last Name:FALCHOOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNET
Other - Middle Name:ELLA
Other - Last Name:HAR-EL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 13833
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19101-3833
Mailing Address - Country:US
Mailing Address - Phone:352-265-8408
Mailing Address - Fax:352-265-8409
Practice Address - Street 1:1050 NW 15TH ST STE 216A
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1390
Practice Address - Country:US
Practice Address - Phone:561-338-8492
Practice Address - Fax:561-338-8492
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1066452084N0400X, 2084N0400X
CO479422084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL002466700Medicaid
FLDG660ZMedicare PIN