Provider Demographics
NPI:1295902989
Name:FALCON, COREY PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:COREY
Middle Name:PAUL
Last Name:FALCON
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1430 TULANE AVE DEPT OF
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70112-2632
Mailing Address - Country:US
Mailing Address - Phone:504-988-5263
Mailing Address - Fax:504-988-1771
Practice Address - Street 1:4720 S I 10 SERVICE RD W STE 401
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1242
Practice Address - Country:US
Practice Address - Phone:504-988-6253
Practice Address - Fax:504-988-7654
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2019-02-11
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Provider Licenses
StateLicense IDTaxonomies
LA3084042080P0207X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology