Provider Demographics
NPI:1942747852
Name:FALCONI, MARINA
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:FALCONI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8829 51ST AVE
Mailing Address - Street 2:APT. 3D
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3981
Mailing Address - Country:US
Mailing Address - Phone:347-358-3949
Mailing Address - Fax:
Practice Address - Street 1:8829 51ST AVE
Practice Address - Street 2:APT. 3D
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-3981
Practice Address - Country:US
Practice Address - Phone:347-358-3949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker