MRS. COLLEEN MARY DEFALCO NP NPI 1306043351

NPI Information

NPI: 1306043351
Provider Name: MRS. COLLEEN MARY DEFALCO, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
VA MEDICAL CENTER, DEPT OF GASTROENTEROLOGY
79 MIDDLEVILLE ROAD
NORTHPORT, NY
ZIP 11768
Phone: (631) 261-4400
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MRS. Colleen Mary Defalco, NP is an adult health nurse practitioner in Northport, NY. MRS. Colleen Mary Defalco, NP NPI is 1306043351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

VA MEDICAL CENTER, DEPT OF GASTROENTEROLOGY
79 MIDDLEVILLE ROAD
NORTHPORT, NY
ZIP 11768-290
Phone: (631) 261-4400
Fax: (631) 486-6113

The enumeration date for this NPI number is 7/2/2007 and was last updated on 7/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	F300698-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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