Provider Demographics
NPI:1720150428
Name:FALANGA, JONATHAN ERROL (DC)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:ERROL
Last Name:FALANGA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 PENBROOKE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-2045
Mailing Address - Country:US
Mailing Address - Phone:585-678-4795
Mailing Address - Fax:585-678-4795
Practice Address - Street 1:421 PENBROOKE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-2045
Practice Address - Country:US
Practice Address - Phone:585-678-4795
Practice Address - Fax:585-678-4795
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007270111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBB2859Medicare ID - Type Unspecified
NYU43554Medicare UPIN