Dr. Michael Defalco, Psy.D
Psychologist, Clinical in Hollis, NY. Individual provider (NPI-1).
NPI number1114082575
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114082575
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Defalco
- Credential
- Psy.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 015570 | NY | Yes |
Practice location
8737 Palermo StHollis, NY 11423-1221
Phone 718-598-3505
Mailing address
25 Iris AveMerrick, NY 11566-1111
Phone 516-414-2677
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