Basic Information
| Provider Information | |||||||||
| NPI: | 1255427100 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FALIVENA | ||||||||
| FirstName: | PATRICIA | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18 KENT DR | ||||||||
| Address2: | |||||||||
| City: | ROSELAND | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070683708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9732269593 | ||||||||
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| Practice Location | |||||||||
| Address1: | RT. 9W | ||||||||
| Address2: | HELEN HAYES HOSPITAL | ||||||||
| City: | W. HAVERSTRAW | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10993 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8457864459 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | 176006-1 | NY | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.