Provider Demographics
NPI:1982014874
Name:FALCONE, GUIDO JOSE (MD, SCD, MPH)
Entity Type:Individual
Prefix:DR
First Name:GUIDO
Middle Name:JOSE
Last Name:FALCONE
Suffix:
Gender:M
Credentials:MD, SCD, MPH
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15 YORK ST
Mailing Address - Street 2:BUILDING LLCI, 10TH FLOOR, SUITE 1003
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3221
Mailing Address - Country:US
Mailing Address - Phone:857-265-5255
Mailing Address - Fax:
Practice Address - Street 1:15 YORK ST
Practice Address - Street 2:BUILDING LLCI, 10TH FLOOR, SUITE 1003
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3221
Practice Address - Country:US
Practice Address - Phone:857-265-5255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-01
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT553892084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology