Provider Demographics
NPI:1184453284
Name:FALANI, DAMIGOU N/A
Entity type:Individual
Prefix:
First Name:DAMIGOU
Middle Name:N/A
Last Name:FALANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2816 W 30TH ST # A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1862
Mailing Address - Country:US
Mailing Address - Phone:718-449-4655
Mailing Address - Fax:
Practice Address - Street 1:2816 W 30TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1862
Practice Address - Country:US
Practice Address - Phone:718-449-4655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No372600000XNursing Service Related ProvidersAdult Companion