MRS. COLLEEN MARY DEFALCO NP
NPI 1306043351
Nurse Practitioner - Adult Health in Northport, NY

Q: What is Colleen Defalco's NPI number?

The NPI number for Colleen Defalco is 1306043351. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Q: What is Colleen Defalco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Colleen Defalco was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2007

VA MEDICAL CENTER, DEPT OF GASTROENTEROLOGY, 79 MIDDLEVILLE ROAD, NORTHPORT, NY 11768(631) 261-4400(631) 486-6113 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Colleen Mary Defalco Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. COLLEEN MARY DEFALCO NP (NPI 1306043351) is an individual adult health provider in Northport, New York, licensed in New York (F300698-1) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1306043351

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. COLLEEN MARY DEFALCOCredential: NP

Location AddressVA MEDICAL CENTER, DEPT OF GASTROENTEROLOGY, 79 MIDDLEVILLE ROADNorthport, NY 11768-2290

Mailing Address17 Colonial DrSmithtown, NY 11787-4212 · (631) 864-7279

Phone(631) 261-4400

Fax(631) 486-6113

Sole ProprietorNo

Enumeration DateJuly 2, 2007

Last NPPES UpdateJuly 2, 2019

✔ NPI 1306043351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F300698-1

VA MEDICAL CENTER, DEPT OF GASTROENTEROLOGY, Northport, NY 11768

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colleen Defalco's NPI number?

The NPI number for Colleen Defalco is 1306043351. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Colleen Defalco located?

Colleen Defalco practices at VA Medical Center, Dept Of Gastroenterology 79 Middleville Road, Northport, NY 11768. The listed phone number is (631) 261-4400.

What is Colleen Defalco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Colleen Defalco was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.