Michael Defalco in Hollis - Clinical

Michael Defalco - NPI 1114082575

Michael Defalco is a Clinical in Hollis, New York. Michael Defalco practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Defalco is 1114082575. The last update date is 2007-07-08.

Michael Defalco's current location address is 8737 Palermo St, Hollis, New York. You can contact this provider via phone number 7185983505. The mailing address for Michael Defalco is 8737 Palermo St, Hollis, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Defalco
Address 8737 Palermo St, Hollis, New York
Phone Number 7185983505
Fax Number
Sole Proprietor Y
Credentials PSY.D

NPI Number Detail

NPI Number 1114082575
Provider Enumeration Date 2006-12-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 8737 Palermo St
City Hollis
State New York (NY)
Post Code 114231221
Phone Number 7185983505
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 15570
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
381861 MHN
2726983 NY --

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FAQs about Michael Defalco

What is the unique identifier code issued to Michael Defalco by the Centers for Medicare & Medicaid Services (CMS)?

The Michael Defalco has been assigned the NPI (National Provider Identifier) 1114082575. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Michael Defalco located?

The Michael Defalco is located at 8737 Palermo St, Hollis, NY 114231221.

What is Michael Defalco's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Michael Defalco is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1114082575 to Michael Defalco?

The Michael Defalco received its 1114082575 assignment from the Centers for Medicare & Medicaid Services on 2006-12-26.

As of what date was the information pertaining to Michael Defalco, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael Defalco, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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